CVS MANCHESTER NH LLC
Pharmacy · DOVER, NH
Organization Active NPI 1225470966
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 734 | 2,534 | $206,880 | $200,956 | $200,956 |
| 2023 | 768 | 3,829 | $155,389 | $144,151 | $144,151 |
| 2022 | 818 | 3,585 | $102,379 | $90,358 | $90,358 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 650 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 639 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 578 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 340 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 214 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 39 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 39 | $292 | $292 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 13 | $22 | $22 |
| 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 | 11 | $152 | $152 |
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.