MATT'S COASTAL PHARMACY LLC

Community/Retail Pharmacy · MIDDLETOWN, RI

Organization Active NPI 1811409014

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20249232,935$229,566$206,226$206,226
20239631,928$104,489$96,821$96,821
20221,2202,823$275,920$126,232$126,232

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose802$44$44
G0008Administration of influenza virus vaccine640$31$31
91320Sarscv2 vac 30mcg trs-suc im465$136$136
90662Influenza vaccine split virus, preservative free334$70$70
91322Sarscov2 vac 50 mcg/0.5ml im296$118$118
90653Influenza vaccine, inactivated276$82$82
G0009Administration of pneumococcal vaccine42$33$33
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use42$118$118
90656Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage20$22$22

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003X
Clinic/Center261Q00000X
Durable Medical Equipment & Medical Supplies332B00000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.