TENNESSEE CVS PHARMACY LLC
Pharmacy · CLEVELAND, TN
Organization Active NPI 1104929801
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 317 | 958 | $76,266 | $74,147 | $74,147 |
| 2023 | 413 | 2,023 | $81,127 | $77,687 | $77,687 |
| 2022 | 453 | 1,704 | $50,989 | $45,305 | $45,305 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 267 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 180 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 180 | $155 | $155 |
| 90662 | Influenza vaccine split virus, preservative free | 177 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 75 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 32 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 32 | $28 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 0000000050 | 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.