OHIO CVS STORES LLC
Pharmacy · DAYTON, OH
Organization Active NPI 1215030663
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 196 | 644 | $52,269 | $50,987 | $50,987 |
| 2023 | 243 | 1,308 | $46,609 | $44,360 | $44,360 |
| 2022 | 279 | 1,266 | $26,797 | $23,607 | $23,607 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 159 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 156 | $157 | $157 |
| G0008 | Administration of influenza virus vaccine | 151 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 115 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 12 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 12 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 21-02700 | OH |
| 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.