OHIO CVS STORES LLC
Pharmacy · AVON, OH
Organization Active NPI 1174627996
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 284 | 916 | $73,642 | $71,929 | $71,929 |
| 2023 | 374 | 1,935 | $65,965 | $63,179 | $63,179 |
| 2022 | 485 | 2,408 | $59,212 | $53,404 | $53,404 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 227 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 224 | $156 | $156 |
| G0008 | Administration of influenza virus vaccine | 220 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 184 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 26 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 11 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 02-1208450 | OH |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Ohio
- NPI 1801831722
- NPI 1821010539
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- NPI 1245093574
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- NPI 1265436000
- NPI 1487368163
- NPI 1093227274
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.