IDAHO CVS PHARMACY LLC
Pharmacy · BOISE, ID
Organization Active NPI 1265912901
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 196 | 652 | $52,733 | $49,774 | $49,774 |
| 2023 | 198 | 1,042 | $38,303 | $34,916 | $34,916 |
| 2022 | 337 | 1,283 | $40,888 | $35,540 | $35,540 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 162 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 156 | $145 | $145 |
| G0008 | Administration of influenza virus vaccine | 152 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 112 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 27 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 12 | $30 | $30 |
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.