ELLIOTT PLAZA PHARMACY LLC
Community/Retail Pharmacy · PRYOR, OK
Organization Active NPI 1710053822
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 80 | 244 | $28,536 | $18,466 | $18,466 |
| 2023 | 115 | 326 | $36,310 | $23,195 | $23,195 |
| 2022 | 136 | 279 | $15,638 | $11,788 | $11,788 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 64 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 59 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 54 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 54 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 306200 | OK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.