SAMS WEST INC
Community/Retail Pharmacy · WOODBURY, MN
Organization Active NPI 1710904115
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 217 | 760 | $54,050 | $52,891 | $52,891 |
| 2023 | 347 | 2,130 | $66,026 | $64,403 | $64,403 |
| 2022 | 465 | 2,652 | $52,996 | $50,214 | $50,214 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 181 | $13 | $13 |
| G0008 | Administration of influenza virus vaccine | 180 | $19 | $19 |
| 90653 | Influenza vaccine, inactivated | 168 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 161 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 19 | $148 | $148 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $287 | $287 |
| G0009 | Administration of pneumococcal vaccine | 19 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 262185 | MN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.