BLACK RIVER GROCERY LLC
Community/Retail Pharmacy · ANDREWS, SC
Organization Active NPI 1689730913
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 18 | 44 | $2,928 | $2,711 | $2,711 |
| 2023 | 40 | 104 | $8,963 | $6,325 | $6,325 |
| 2022 | 27 | 101 | $3,420 | $2,849 | $2,849 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 17 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 15 | $81 | $81 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 14725 | SC |
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See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.