OKLAHOMA CVS PHARMACY LLC
Pharmacy · ARDMORE, OK
Organization Active NPI 1114021946
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 148 | 454 | $36,242 | $35,327 | $35,327 |
| 2023 | 148 | 522 | $30,647 | $29,264 | $29,264 |
| 2022 | 137 | 345 | $17,302 | $15,745 | $15,745 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 113 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 105 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 102 | $157 | $157 |
| 90662 | Influenza vaccine split virus, preservative free | 82 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 17 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 12-4992 | OK |
| 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.