OHIO CVS STORES LLC
Pharmacy · AVON LAKE, OH
Organization Active NPI 1083717805
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 379 | 1,270 | $100,171 | $97,307 | $97,307 |
| 2023 | 512 | 2,648 | $95,835 | $91,292 | $91,292 |
| 2022 | 660 | 3,015 | $79,110 | $68,673 | $68,673 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 316 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 310 | $41 | $41 |
| 90662 | Influenza vaccine split virus, preservative free | 298 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 250 | $153 | $153 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 60 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2758900 | OH |
| 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.