WISCONSIN CVS PHARMACY, L.L.C.
Pharmacy · STURGEON BAY, WI
Organization Active NPI 1043625924
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 641 | 2,184 | $177,877 | $171,196 | $171,196 |
| 2023 | 761 | 2,862 | $163,155 | $147,600 | $147,600 |
| 2022 | 746 | 2,975 | $88,861 | $76,145 | $76,145 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 571 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 565 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 494 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 352 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 125 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 27 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 27 | $27 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | WI | |
| Community/Retail Pharmacy | 3336C0003X | — | WI |
Other Pharmacy providers in Wisconsin
- NPI 1235163452
- NPI 1073528147
- NPI 1053967026
- NPI 1194889980
- NPI 1861564478
- NPI 1891729018
- NPI 1063446284
- NPI 1184658395
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.