LAKE ODESSA PHARMACY
Community/Retail Pharmacy · LAKE ODESSA, MI
Organization Active NPI 1831608108
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 53 | 160 | $13,935 | $12,964 | $12,964 |
| 2023 | 72 | 182 | $12,349 | $11,280 | $11,280 |
| 2022 | 148 | 358 | $13,885 | $12,449 | $12,449 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 39 | $41 | $41 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $158 | $158 |
| G0008 | Administration of influenza virus vaccine | 38 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 26 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5301011266 | MI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.