CVS PHARMACY INC
Pharmacy · GRAND PRAIRIE, TX
Organization Active NPI 1053461301
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 56 | 184 | $15,637 | $15,292 | $15,292 |
| 2023 | 72 | 202 | $13,925 | $13,435 | $13,435 |
| 2022 | 68 | 134 | $6,917 | $5,987 | $5,987 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 44 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 39 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $155 | $155 |
| 90662 | Influenza vaccine split virus, preservative free | 38 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 30511 | TX |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.