UTAH CVS PHARMACY, L.L.C.
Pharmacy · WEST VALLEY CITY, UT
Organization Active NPI 1124475108
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 129 | 452 | $36,218 | $34,417 | $34,417 |
| 2023 | 178 | 726 | $36,264 | $33,152 | $33,152 |
| 2022 | 158 | 488 | $16,991 | $14,640 | $14,640 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 115 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 115 | $145 | $145 |
| G0008 | Administration of influenza virus vaccine | 107 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 84 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 20 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | UT | |
| Community/Retail Pharmacy | 3336C0003X | — | UT |
Other Pharmacy providers in Utah
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.