RANDALLS FOOD & DRUGS LP
Community/Retail Pharmacy · BOISE, ID
Organization Active NPI 1689052722
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 28,016 | 94,509 | $9,439,792 | $7,439,798 | $7,439,798 |
| 2023 | 34,309 | 143,743 | $8,657,090 | $6,745,932 | $6,745,932 |
| 2022 | 46,580 | 204,147 | $8,395,334 | $5,715,766 | $5,715,766 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 23,312 | $32 | $32 |
| 90480 | Admn sarscov2 vacc 1 dose | 22,242 | $41 | $41 |
| 90662 | Influenza vaccine split virus, preservative free | 22,100 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 11,759 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 10,527 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 1,673 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 1,668 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 950 | $82 | $82 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 162 | $22 | $22 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 67 | $22 | $22 |
| 90682 | Influenza vaccine, quadrivalent derived from recombinant dna | 37 | $72 | $72 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| 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.