SP CARE LLC
Long Term Care Pharmacy · ST. GEORGE, UT
Organization Active NPI 1922401256
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 59 | 210 | $32,085 | $17,319 | $17,319 |
| 2023 | 76 | 260 | $29,932 | $16,647 | $16,647 |
| 2022 | 120 | 260 | $13,801 | $8,779 | $8,779 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 48 | $22 | $22 |
| G0008 | Administration of influenza virus vaccine | 48 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 30 | $31 | $31 |
| 90480 | Admn sarscov2 vacc 1 dose | 27 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 17 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | 94262441704 | UT |
| Pharmacy | 333600000X | — | — | |
| Institutional Pharmacy | 3336I0012X | — | — | |
| Managed Care Organization Pharmacy | 3336M0003X | — | — | |
| 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.