OHIO CVS STORES LLC
Pharmacy · KENT, OH
Organization Active NPI 1275636003
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 215 | 714 | $59,280 | $57,170 | $57,170 |
| 2023 | 343 | 1,864 | $65,977 | $60,198 | $60,198 |
| 2022 | 558 | 3,128 | $65,369 | $57,944 | $57,944 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 194 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 189 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 151 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 110 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 33 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 12 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2845050 | OH |
| 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.