WISCONSIN CVS PHARMACY LLC
Pharmacy · BROOKFIELD, WI
Organization Active NPI 1225398738
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 148 | 482 | $37,675 | $36,813 | $36,813 |
| 2023 | 180 | 495 | $33,028 | $31,630 | $31,630 |
| 2022 | 332 | 1,570 | $39,039 | $35,688 | $35,688 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 120 | $38 | $38 |
| G0008 | Administration of influenza virus vaccine | 120 | $30 | $30 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 117 | $157 | $157 |
| 90662 | Influenza vaccine split virus, preservative free | 106 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 9126-42 | WI |
Other Pharmacy providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.