DAVIS PHARMACY INC
Community/Retail Pharmacy · VERMILLION, SD
Organization Active NPI 1811960263
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 77 | 222 | $25,691 | $16,939 | $16,939 |
| 2023 | 66 | 142 | $7,755 | $7,589 | $7,589 |
| 2022 | 56 | 115 | $6,822 | $6,652 | $6,652 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 68 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 68 | $31 | $31 |
| 90480 | Admn sarscov2 vacc 1 dose | 37 | $41 | $41 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 37 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 100-0455 | SD |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in South Dakota
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See all Community/Retail Pharmacy providers in South Dakota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.