CVS MANCHESTER NH, L.L.C.

Pharmacy · DERRY, NH

Organization Active NPI 1285733592

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20246322,098$170,619$165,671$165,671
20238684,066$192,602$177,930$177,930
20228503,642$102,046$91,167$91,167

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose531$42$42
91320Sarscv2 vac 30mcg trs-suc im528$149$149
G0008Administration of influenza virus vaccine480$30$30
90662Influenza vaccine split virus, preservative free256$82$82
90653Influenza vaccine, inactivated187$82$82
G0009Administration of pneumococcal vaccine38$31$31
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use33$291$291
90661Influenza vaccine, trivalent derived from cell cultures14$36$36
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage13$76$76

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X0271 PNH
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.