TENNESSEE CVS PHARMACY LLC
Pharmacy · BRISTOL, TN
Organization Active NPI 1104929611
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 204 | 672 | $54,664 | $52,352 | $52,352 |
| 2023 | 270 | 1,387 | $56,497 | $51,687 | $51,687 |
| 2022 | 283 | 1,443 | $37,153 | $32,088 | $32,088 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 169 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 147 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 146 | $149 | $149 |
| 90662 | Influenza vaccine split virus, preservative free | 133 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 28 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 20 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 1668 | TN |
| 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.