EXTENDED PHARMACY LLC
Long Term Care Pharmacy · PEORIA, IL
Organization Active NPI 1700014446
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 51 | 102 | $3,583 | $2,706 | $2,706 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 51 | $22 | $22 |
| G0008 | Administration of influenza virus vaccine | 51 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | 054016704 | IL |
| Pharmacy | 333600000X | 64002202A | IN | |
| Long Term Care Pharmacy | 3336L0003X | 2015044792 | MO |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.