STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET

Long Term Care Pharmacy · MINNEAPOLIS, MN

Organization Active NPI 1891021390

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242591,238$126,052$108,320$108,320
20232571,084$112,808$93,376$93,376
2022326910$51,666$39,762$39,762

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose364$42$42
91322Sarscov2 vac 50 mcg/0.5ml im364$150$150
G0008Administration of influenza virus vaccine208$31$31
90662Influenza vaccine split virus, preservative free195$82$82
G0009Administration of pneumococcal vaccine49$31$31
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use40$286$286

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Long Term Care Pharmacy3336L0003X
Long Term Care Pharmacy3336L0003X201261MN

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