Kohlls Pharmacy & Homecare Inc

Omaha, Mass Immunization Roster Biller

Received $228,446 from Medicare for services in 2012

2012 reimbursement details

Service Times performed Avg. Medicare payment Total payments
Flu vacc prsv free inc antig 952 $31 $29,436
Admin influenza virus vac 1,375 $21 $28,329
Admin influenza virus vac 1,185 $21 $25,366
Flu vacc prsv free inc antig 771 $31 $23,839
Flu vacc prsv free inc antig 546 $31 $16,882
Admin influenza virus vac 679 $21 $14,368
Admin influenza virus vac 567 $21 $11,669
Flu vacc prsv free inc antig 370 $31 $11,440
Flu vacc prsv free inc antig 346 $31 $10,698
Flu vacc prsv free inc antig 343 $31 $10,606
Admin influenza virus vac 396 $22 $8,709
Admin influenza virus vac 395 $21 $8,427
Fluzone vacc, 3 yrs & >, im 284 $12 $3,445
Fluzone vacc, 3 yrs & >, im 207 $12 $2,508
Pneumococcal vaccine 38 $65 $2,465
Fluzone vacc, 3 yrs & >, im 190 $12 $2,310
Pneumococcal vaccine 35 $65 $2,268
Flulaval vacc, 3 yrs & >, im 223 $10 $2,187
Pneumococcal vaccine 30 $63 $1,892
Pneumococcal vaccine 28 $66 $1,842
Fluzone vacc, 3 yrs & >, im 133 $12 $1,628
Pneumococcal vaccine 23 $65 $1,496
Pneumococcal vaccine 14 $62 $869
Flu vaccine no preserv 3 & > 57 $12 $707
Admin pneumococcal vaccine 38 $18 $674
Admin pneumococcal vaccine 35 $19 $648
Fluzone vacc, 3 yrs & >, im 50 $12 $610
Fluzone vacc, 3 yrs & >, im 47 $12 $569
Fluvirin vacc, 3 yrs & >, im 40 $14 $562
Admin pneumococcal vaccine 29 $19 $561
Admin pneumococcal vaccine 28 $19 $538
Admin pneumococcal vaccine 23 $20 $463
Admin pneumococcal vaccine 14 $18 $250
Flulaval vacc, 3 yrs & >, im 19 $10 $185

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