PPG STORE 5, LLC
Community/Retail Pharmacy · CABOT, AR
Organization Active NPI 1689113136
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 109 | 302 | $225,031 | $21,114 | $21,114 |
| 2023 | 125 | 414 | $148,741 | $22,189 | $22,189 |
| 2022 | 248 | 705 | $224,542 | $22,913 | $22,913 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 98 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 87 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 48 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 48 | $156 | $156 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 11 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.