EXTENDED LIVING PHARMACY LLC
Long Term Care Pharmacy · FORSYTH, IL
Organization Active NPI 1992899306
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 149 | 300 | $11,561 | $9,015 | $9,015 |
| 2023 | 72 | 96 | $5,527 | $5,098 | $5,098 |
| 2022 | 1,187 | 1,512 | $67,070 | $55,993 | $55,993 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 146 | $22 | $22 |
| G0008 | Administration of influenza virus vaccine | 146 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | 054016055 | IL |
| Pharmacy | 333600000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.