MLH-RX, LLC
Community/Retail Pharmacy · ELDON, MO
Organization Active NPI 1992130173
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 94 | 304 | $23,690 | $23,205 | $23,205 |
| 2023 | 129 | 539 | $23,213 | $19,529 | $19,529 |
| 2022 | 291 | 667 | $27,618 | $24,094 | $24,094 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 75 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 75 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 62 | $17 | $17 |
| 90662 | Influenza vaccine split virus, preservative free | 54 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 15 | $24 | $24 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | OS02509 | AR |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 054.018532 | IL | |
| Pharmacy | 333600000X | 22-16480 | KS | |
| Compounding Pharmacy | 3336C0004X | 2013042541 | MO | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
Other Community/Retail Pharmacy providers in Missouri
- NPI 1295890739
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- NPI 1720138837
- NPI 1477518355
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.