SAMS WEST INC
Community/Retail Pharmacy · BENTONVILLE, AR
Organization Active NPI 1689685109
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 1,108 | $77,602 | $75,973 | $75,973 |
| 2023 | 406 | 1,284 | $74,334 | $72,778 | $72,778 |
| 2022 | 500 | 1,424 | $54,659 | $52,005 | $52,005 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 284 | $18 | $18 |
| 90653 | Influenza vaccine, inactivated | 279 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 240 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 215 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 30 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 24 | $143 | $143 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | AR20545 | AR |
| 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.