OHIO CVS STORES LLC
Pharmacy · CANTON, OH
Organization Active NPI 1043626138
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 83 | 258 | $21,014 | $20,359 | $20,359 |
| 2023 | 159 | 788 | $27,339 | $25,219 | $25,219 |
| 2022 | 205 | 686 | $21,315 | $18,437 | $18,437 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 66 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 66 | $151 | $151 |
| G0008 | Administration of influenza virus vaccine | 59 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 46 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.