SANFORD MEDICAL CENTER
Community/Retail Pharmacy · HURON, SD
Organization Active NPI 1932298551
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 648 | 1,887 | $146,268 | $142,560 | $142,560 |
| 2023 | 714 | 2,060 | $132,809 | $125,757 | $125,757 |
| 2022 | 1,030 | 2,307 | $92,478 | $89,969 | $89,969 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 540 | $29 | $29 |
| 90653 | Influenza vaccine, inactivated | 345 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 269 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 253 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 230 | $146 | $146 |
| 90662 | Influenza vaccine split virus, preservative free | 121 | $82 | $82 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 39 | $36 | $36 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 29 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 26 | $25 | $25 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 17 | $22 | $22 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 13 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | 100985 | SD | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
Other Community/Retail Pharmacy providers in South Dakota
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See all Community/Retail Pharmacy providers in South Dakota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.