PENNSYLVANIA CVS PHARMACY, L.L.C.

Pharmacy · HAVERTOWN, PA

Organization Active NPI 1093813610

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243891,222$96,878$94,790$94,790
20235152,557$95,643$92,127$92,127
20228072,613$78,892$68,119$68,119

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine306$30$30
90480Admn sarscov2 vacc 1 dose286$38$38
91322Sarscov2 vac 50 mcg/0.5ml im280$156$156
90662Influenza vaccine split virus, preservative free226$81$81
90653Influenza vaccine, inactivated66$82$82
G0009Administration of pneumococcal vaccine19$29$29
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use17$291$291

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000XPP-415037-LPA
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.