CITYWIDE RX LLC
Long Term Care Pharmacy · COLUMBUS, OH
Organization Active NPI 1881190692
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 12 | 24 | $4,091 | $3,818 | $3,818 |
| 2023 | 16 | 22 | $3,470 | $2,376 | $2,376 |
| 2022 | 353 | 423 | $56,220 | $15,725 | $15,725 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0009 | Administration of pneumococcal vaccine | 12 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | 0228665500 | OH |
| 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.