PACIFIC RX INC
Community/Retail Pharmacy · PACIFIC, MO
Organization Active NPI 1629578927
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 34 | 76 | $5,183 | $4,935 | $4,935 |
| 2023 | 17 | 37 | $2,592 | $2,377 | $2,377 |
| 2022 | 50 | 97 | $4,459 | $4,293 | $4,293 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 29 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 28 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2018004232 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.