SUBURBAN PHARMACY LTC INC
Long Term Care Pharmacy · WEST HARTFORD, CT
Organization Active NPI 1932236775
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 182 | 770 | $82,993 | $51,240 | $51,240 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 182 | $40 | $40 |
| G0008 | Administration of influenza virus vaccine | 169 | $34 | $34 |
| 90653 | Influenza vaccine, inactivated | 161 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 125 | $45 | $45 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 125 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | 2051 | CT |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Long Term Care Pharmacy providers in Connecticut
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.