SANFORD MEDICAL CENTER
Community/Retail Pharmacy · MITCHELL, SD
Organization Active NPI 1811263106
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 662 | $51,578 | $50,401 | $50,401 |
| 2023 | 334 | 954 | $75,558 | $54,405 | $54,405 |
| 2022 | 493 | 1,046 | $40,980 | $39,926 | $39,926 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 214 | $30 | $30 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 115 | $157 | $157 |
| 90653 | Influenza vaccine, inactivated | 108 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 85 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 63 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 52 | $150 | $150 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 100-1972 | SD |
| 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.