EASTSIDE PHARMACY, INC.
Community/Retail Pharmacy · POPLAR BLUFF, MO
Organization Active NPI 1750421079
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 114 | 330 | $54,520 | $24,430 | $24,430 |
| 2023 | 211 | 556 | $53,975 | $31,727 | $31,727 |
| 2022 | 351 | 743 | $56,841 | $29,825 | $29,825 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 94 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 58 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 53 | $155 | $155 |
| 90480 | Admn sarscov2 vacc 1 dose | 53 | $40 | $40 |
| 90658 | Influenza vaccine, trivalent, 0.5 ml dosage | 19 | $21 | $21 |
| G0009 | Administration of pneumococcal vaccine | 18 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $292 | $292 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 16 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 005573 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | 005573 | 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.