UTAH CVS PHARMACY LLC
Pharmacy · PROVO, UT
Organization Active NPI 1184058810
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 148 | 474 | $37,615 | $36,334 | $36,334 |
| 2023 | 145 | 456 | $30,859 | $29,480 | $29,480 |
| 2022 | 114 | 278 | $12,160 | $10,215 | $10,215 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 125 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 121 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 110 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 82 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 19 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | UT | |
| Community/Retail Pharmacy | 3336C0003X | — | UT |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.