ARIZONA CVS STORES LLC
Pharmacy · GLENDALE, AZ
Organization Active NPI 1285930164
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 132 | 418 | $33,476 | $32,094 | $32,094 |
| 2023 | 164 | 487 | $34,845 | $33,610 | $33,610 |
| 2022 | 178 | 384 | $22,452 | $20,030 | $20,030 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 107 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 92 | $41 | $41 |
| 90662 | Influenza vaccine split virus, preservative free | 84 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 80 | $147 | $147 |
| 90653 | Influenza vaccine, inactivated | 13 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $143 | $143 |
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.