U-Save Pharmacy Inc

North Platte, Mass Immunization Roster Biller

Received $31,424 from Medicare for services in 2012

2012 reimbursement details

Service Times performed Avg. Medicare payment Total payments
Flu vacc prsv free inc antig 287 $31 $8,874
Admin influenza virus vac 351 $22 $7,712
Admin influenza virus vac 239 $22 $5,305
Flu vaccine no preserv 3 & > 239 $12 $2,963
Admin influenza virus vac 42 $21 $890
Flu vaccine no preserv 3 & > 63 $12 $781
Afluria vacc, 3 yrs & >, im 54 $12 $623
Admin influenza virus vac 28 $22 $614
Admin influenza virus vac 26 $22 $577
Admin influenza virus vac 69 $8 $550
Fluvirin vacc, 3 yrs & >, im 36 $14 $505
Flu vacc prsv free inc antig 14 $31 $433
Flu vacc prsv free inc antig 12 $31 $371
Fluvirin vacc, 3 yrs & >, im 26 $14 $365
Fluvirin vacc, 3 yrs & >, im 25 $14 $350
Admin influenza virus vac 25 $11 $286
Fluvirin vacc, 3 yrs & >, im 16 $14 $225

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