NEW JERSEY CVS PHARMACY LLC
Pharmacy · FAIR LAWN, NJ
Organization Active NPI 1215010848
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,321 | 4,154 | $332,600 | $325,532 | $325,532 |
| 2023 | 1,450 | 7,574 | $268,635 | $261,750 | $261,750 |
| 2022 | 1,981 | 10,667 | $254,571 | $235,189 | $235,189 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 1,081 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 891 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 878 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 702 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 222 | $82 | $82 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 126 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 105 | $33 | $33 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 97 | $291 | $291 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 13 | $151 | $151 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 13 | $22 | $22 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | RS02791 | NJ |
| 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.