NEW JERSEY CVS PHARMACY LLC
Pharmacy · PASSAIC, NJ
Organization Active NPI 1144312612
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 195 | 530 | $39,796 | $38,764 | $38,764 |
| 2023 | 340 | 1,587 | $55,453 | $53,002 | $53,002 |
| 2022 | 507 | 2,414 | $68,298 | $64,494 | $64,494 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 169 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 140 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 80 | $43 | $43 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 80 | $152 | $152 |
| G0009 | Administration of pneumococcal vaccine | 16 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $290 | $290 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 12 | $22 | $22 |
| 90653 | Influenza vaccine, inactivated | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 5873 | NJ |
| 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.