PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy · RICHBORO, PA
Organization Active NPI 1124122965
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 793 | 2,516 | $202,740 | $196,951 | $196,951 |
| 2023 | 1,128 | 6,253 | $214,466 | $200,300 | $200,300 |
| 2022 | 1,093 | 5,792 | $123,021 | $110,603 | $110,603 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 616 | $43 | $43 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 608 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 600 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 531 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 42 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 38 | $290 | $290 |
| 90653 | Influenza vaccine, inactivated | 37 | $82 | $82 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PP413865L | PA |
| 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.