KANSAS CVS PHARMACY LLC
Pharmacy · WICHITA, KS
Organization Active NPI 1184646820
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 102 | 330 | $25,889 | $24,792 | $24,792 |
| 2023 | 201 | 674 | $45,811 | $41,615 | $41,615 |
| 2022 | 272 | 819 | $36,465 | $30,783 | $30,783 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 85 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 81 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 76 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 74 | $148 | $148 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 209957 | KS |
Other Pharmacy providers in Kansas
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.