WISCONSIN CVS PHARMACY LLC
Pharmacy · RACINE, WI
Organization Active NPI 1255372124
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 197 | 664 | $53,002 | $51,815 | $51,815 |
| 2023 | 250 | 1,249 | $47,590 | $45,308 | $45,308 |
| 2022 | 288 | 1,083 | $31,099 | $27,466 | $27,466 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 167 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 165 | $157 | $157 |
| G0008 | Administration of influenza virus vaccine | 159 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 116 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 35 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Wisconsin
- NPI 1265466486
- NPI 1225062441
- NPI 1902931702
- NPI 1194730085
- NPI 1396752341
- NPI 1740295633
- NPI 1689689739
- NPI 1598770646
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.