AMERICAN DRUG STORES DELAWARE LLC
Pharmacy · FARGO, ND
Organization Active NPI 1821039793
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,197 | 4,168 | $333,753 | $319,037 | $319,037 |
| 2023 | 1,173 | 4,524 | $267,250 | $246,191 | $246,191 |
| 2022 | 1,052 | 2,870 | $127,434 | $110,822 | $110,822 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,016 | $41 | $41 |
| G0008 | Administration of influenza virus vaccine | 1,013 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,012 | $146 | $146 |
| 90662 | Influenza vaccine split virus, preservative free | 550 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 419 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 55 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 51 | $291 | $291 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 28 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.