NEBRASKA CVS PHARMACY LLC
Pharmacy · LA VISTA, NE
Organization Active NPI 1144585217
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 1,092 | $86,623 | $83,420 | $83,420 |
| 2023 | 367 | 1,362 | $76,861 | $69,950 | $69,950 |
| 2022 | 353 | 861 | $42,236 | $36,117 | $36,117 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 280 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 250 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 245 | $151 | $151 |
| 90662 | Influenza vaccine split virus, preservative free | 224 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 48 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 16 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Nebraska
- NPI 1639640071
- NPI 1346255387
- NPI 1366360059
- NPI 1982650297
- NPI 1609310192
- NPI 1073906525
- NPI 1306879275
- NPI 1982688537
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.