CVS MANCHESTER NH LLC
Pharmacy · SALEM, NH
Organization Active NPI 1194150599
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 615 | 1,990 | $157,640 | $153,438 | $153,438 |
| 2023 | 916 | 4,951 | $185,945 | $173,715 | $173,715 |
| 2022 | 969 | 4,695 | $125,915 | $113,498 | $113,498 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 516 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 445 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 440 | $150 | $150 |
| 90662 | Influenza vaccine split virus, preservative free | 304 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 187 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 34 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 33 | $291 | $291 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | $76 | $76 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 11 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| 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.