WISCONSIN CVS PHARMACY LLC
Pharmacy · OAK CREEK, WI
Organization Active NPI 1104848704
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 165 | 506 | $38,352 | $37,400 | $37,400 |
| 2023 | 205 | 767 | $40,263 | $38,539 | $38,539 |
| 2022 | 245 | 819 | $26,632 | $24,054 | $24,054 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 147 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 100 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 98 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 91 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 50 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 8463042 | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.