WISCONSIN CVS PHARMACY LLC
Pharmacy · BELOIT, WI
Organization Active NPI 1114172400
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 360 | 1,226 | $96,009 | $93,761 | $93,761 |
| 2023 | 432 | 1,843 | $86,018 | $82,160 | $82,160 |
| 2022 | 422 | 1,322 | $46,904 | $40,979 | $40,979 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 305 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 300 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 299 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 265 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 25 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| 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.