RITE AID OF PENNSYLVANIA LLC
Community/Retail Pharmacy · PITTSTON, PA
Organization Active NPI 1710076450
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 312 | 850 | $64,314 | $61,978 | $61,978 |
| 2023 | 428 | 1,674 | $73,461 | $68,772 | $68,772 |
| 2022 | 633 | 2,190 | $67,713 | $59,968 | $59,968 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 268 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 253 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 139 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 78 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 54 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 18 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PP413548L | PA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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See all Community/Retail Pharmacy providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.