OHIO CVS STORES LLC
Pharmacy · LIMA, OH
Organization Active NPI 1174626907
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 466 | 1,506 | $118,716 | $114,970 | $114,970 |
| 2023 | 400 | 1,622 | $76,755 | $70,618 | $70,618 |
| 2022 | 394 | 1,150 | $45,636 | $40,370 | $40,370 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 400 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 324 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 318 | $151 | $151 |
| 90662 | Influenza vaccine split virus, preservative free | 271 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 108 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 29 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 28 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 20961050 | OH |
| 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.