GREEN LINE APOTHECARY OF PROVIDENCE LLC
Community/Retail Pharmacy · PROVIDENCE, RI
Organization Active NPI 1750862983
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 197 | 581 | $60,257 | $43,593 | $43,593 |
| 2023 | 246 | 659 | $60,553 | $41,913 | $41,913 |
| 2022 | 153 | 293 | $14,755 | $13,097 | $13,097 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 164 | $33 | $33 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 153 | $126 | $126 |
| 90662 | Influenza vaccine split virus, preservative free | 120 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 84 | $44 | $44 |
| 90653 | Influenza vaccine, inactivated | 37 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| 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.