CUSTOM PRESCRIPTION SHOPPE LLC
Long Term Care Pharmacy · FERNDALE, WA
Organization Active NPI 1932288438
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 66 | 212 | $26,534 | $16,886 | $16,886 |
| 2023 | 106 | 295 | $33,725 | $19,586 | $19,586 |
| 2022 | 229 | 419 | $38,800 | $16,705 | $16,705 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 52 | $43 | $43 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 52 | $147 | $147 |
| 90662 | Influenza vaccine split virus, preservative free | 50 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 50 | $32 | $32 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | CF00057668 | WA |
| Community/Retail Pharmacy | 3336C0003X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Mail Order Pharmacy | 3336M0002X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.