FAIRVIEW PHARMACY SERVICES LLC
Community/Retail Pharmacy · FRIDLEY, MN
Organization Active NPI 1659782522
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 101 | 349 | $36,818 | $29,823 | $29,823 |
| 2023 | 127 | 516 | $32,236 | $24,420 | $24,420 |
| 2022 | 159 | 446 | $15,609 | $11,821 | $11,821 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 91320 | Sarscv2 vac 30mcg trs-suc im | 107 | $145 | $145 |
| 90480 | Admn sarscov2 vacc 1 dose | 91 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 64 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 59 | $81 | $81 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 246395 | MN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Clinic Pharmacy | 3336C0002X | — | — |
Other Community/Retail Pharmacy providers in Minnesota
- NPI 1760446124
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- NPI 1366765539
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.