AVERA ST. MARY'S
Community/Retail Pharmacy · PIERRE, SD
Organization Active NPI 1932651122
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 52 | 136 | $13,027 | $12,765 | $12,765 |
| 2023 | 24 | 66 | $4,318 | $4,214 | $4,214 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 27 | $11 | $11 |
| 90653 | Influenza vaccine, inactivated | 24 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 23 | $23 | $23 |
| 90480 | Admn sarscov2 vacc 1 dose | 18 | $16 | $16 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 18 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 100-2044 | SD |
| Clinic Pharmacy | 3336C0002X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
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.