AMERICAN DRUG STORES DELAWARE LLC
Pharmacy · MINOT, ND
Organization Active NPI 1700828993
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 457 | 1,410 | $109,687 | $105,677 | $105,677 |
| 2023 | 458 | 1,439 | $84,164 | $79,084 | $79,084 |
| 2022 | 596 | 1,537 | $72,092 | $66,582 | $66,582 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 408 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 303 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 259 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 255 | $148 | $148 |
| 90653 | Influenza vaccine, inactivated | 80 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 38 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 37 | $292 | $292 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 12 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.