WISCONSIN CVS PHARMACY, L.L.C.
Pharmacy · SHEBOYGAN, WI
Organization Active NPI 1265813364
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 233 | 792 | $62,502 | $60,655 | $60,655 |
| 2023 | 323 | 1,169 | $64,639 | $61,391 | $61,391 |
| 2022 | 346 | 988 | $37,924 | $32,556 | $32,556 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 197 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 192 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 160 | $153 | $153 |
| 90662 | Influenza vaccine split virus, preservative free | 145 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 43 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 30 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | WI | |
| Community/Retail Pharmacy | 3336C0003X | — | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.