UTAH CVS PHARMACY, L.L.C.
Pharmacy · SOUTH JORDAN, UT
Organization Active NPI 1235517053
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 173 | 604 | $48,536 | $47,169 | $47,169 |
| 2023 | 242 | 956 | $50,567 | $48,352 | $48,352 |
| 2022 | 250 | 729 | $31,362 | $26,765 | $26,765 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 151 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 139 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 138 | $154 | $154 |
| 90662 | Influenza vaccine split virus, preservative free | 79 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 65 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $28 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | UT | |
| Community/Retail Pharmacy | 3336C0003X | — | UT |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.