ARIZONA CVS STORES LLC

Pharmacy · COTTONWOOD, AZ

Organization Active NPI 1144264490

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20249513,146$253,051$241,804$241,804
20239133,487$187,108$172,382$172,382
20221,2063,250$138,946$122,351$122,351

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine774$30$30
90480Admn sarscov2 vacc 1 dose743$41$41
91320Sarscv2 vac 30mcg trs-suc im718$145$145
90653Influenza vaccine, inactivated385$82$82
90662Influenza vaccine split virus, preservative free354$81$81
G0009Administration of pneumococcal vaccine56$30$30
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use55$291$291
91304Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use25$157$157
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage15$76$76

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.