MAIN STREET PHARMACY, LLC
Long Term Care Pharmacy · ALEXANDRIA, VA
Organization Active NPI 1942300223
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 217 | 630 | $62,315 | $59,793 | $59,793 |
| 2023 | 59 | 302 | $3,591 | $3,519 | $3,519 |
| 2022 | 16 | 56 | $567 | $556 | $556 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 228 | $45 | $45 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 132 | $131 | $131 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 96 | $149 | $149 |
| 90662 | Influenza vaccine split virus, preservative free | 48 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 48 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 39 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 39 | $33 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.