PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy · JENKINTOWN, PA
Organization Active NPI 1285738039
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,831 | 6,054 | $499,842 | $488,980 | $488,980 |
| 2023 | 2,127 | 12,117 | $421,914 | $407,425 | $407,425 |
| 2022 | 2,439 | 12,863 | $301,463 | $272,003 | $272,003 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,610 | $43 | $43 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,343 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 1,318 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 808 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 302 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 255 | $143 | $143 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 140 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 99 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 98 | $291 | $291 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 23 | $22 | $22 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 22 | $76 | $76 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 22 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PP414349L | PA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Pennsylvania
- NPI 1093527533
- NPI 1508871492
- NPI 1629315346
- NPI 1063492296
- NPI 1891780797
- NPI 1851498620
- NPI 1083802078
- NPI 1972710176
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.