K-VA-T FOOD STORES INC
Community/Retail Pharmacy · OOLTEWAH, TN
Organization Active NPI 1780050443
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 53 | 126 | $7,616 | $7,464 | $7,464 |
| 2023 | 41 | 101 | $4,706 | $4,531 | $4,531 |
| 2022 | 102 | 339 | $9,864 | $9,428 | $9,428 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 51 | $24 | $24 |
| 90662 | Influenza vaccine split virus, preservative free | 42 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 12 | $33 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.