ALGOMA HOMETOWN PHARMACY LLC
Community/Retail Pharmacy · ALGOMA, WI
Organization Active NPI 1912416991
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 70 | 252 | $20,062 | $19,660 | $19,660 |
| 2023 | 73 | 220 | $15,393 | $14,387 | $14,387 |
| 2022 | 147 | 419 | $14,477 | $12,494 | $12,494 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 62 | $41 | $41 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 62 | $158 | $158 |
| G0008 | Administration of influenza virus vaccine | 57 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 56 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.