GUNDERSEN CLINIC LTD
Long Term Care Pharmacy · LA CROSSE, WI
Organization Active NPI 1699225474
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 103 | 351 | $27,221 | $25,751 | $25,751 |
| 2023 | 155 | 482 | $31,336 | $29,944 | $29,944 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 92 | $81 | $81 |
| G0008 | Administration of influenza virus vaccine | 87 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 86 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 86 | $152 | $152 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | 9420-42 | WI |
| Pharmacy | 333600000X | — | — |
Other Long Term Care Pharmacy providers in Wisconsin
- NPI 1629490255
- NPI 1417156209
- NPI 1184045106
- NPI 1679801807
- NPI 1174145031
- NPI 1548844111
- NPI 1831274331
- NPI 1285625681
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.