BOONEVILLE COMMUNITY PHARMACY OF MSINC
Community/Retail Pharmacy · BOONEVILLE, MS
Organization Active NPI 1679651186
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 80 | 189 | $17,717 | $13,565 | $13,565 |
| 2023 | 93 | 199 | $16,759 | $12,044 | $12,044 |
| 2022 | 204 | 333 | $25,549 | $14,149 | $14,149 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 58 | $29 | $29 |
| 90480 | Admn sarscov2 vacc 1 dose | 35 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 35 | $144 | $144 |
| 90653 | Influenza vaccine, inactivated | 34 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 04785011 | MS |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Mississippi
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See all Community/Retail Pharmacy providers in Mississippi →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.