TENNESSEE CVS PHARMACY LLC

Pharmacy · CHATTANOOGA, TN

Organization Active NPI 1215030655

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243011,071$87,167$83,299$83,299
20233311,729$75,861$69,452$69,452
20224271,751$59,657$50,994$50,994

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine255$30$30
90480Admn sarscov2 vacc 1 dose253$39$39
91320Sarscv2 vac 30mcg trs-suc im249$148$148
90662Influenza vaccine split virus, preservative free155$82$82
90653Influenza vaccine, inactivated79$82$82
G0009Administration of pneumococcal vaccine27$27$27
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use27$290$290
90661Influenza vaccine, trivalent derived from cell cultures16$36$36

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X1540TN
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.