MAXI DRUG NORTH INC
Community/Retail Pharmacy · WEST LEBANON, NH
Organization Active NPI 1902905284
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 618 | 1,960 | $167,409 | $162,725 | $162,725 |
| 2023 | 824 | 2,987 | $170,934 | $158,396 | $158,396 |
| 2022 | 1,001 | 3,552 | $101,673 | $90,723 | $90,723 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 623 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 420 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 337 | $32 | $32 |
| 90653 | Influenza vaccine, inactivated | 303 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 187 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 20 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $290 | $290 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 16 | $155 | $155 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 12 | $36 | $36 |
| 90662 | Influenza vaccine split virus, preservative free | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0456P | NH |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.