ARIZONA CVS STORES LLC

Pharmacy · SUN CITY WEST, AZ

Organization Active NPI 1295776110

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20247302,290$182,442$177,345$177,345
20238453,313$152,265$146,391$146,391
20221,0223,172$110,859$97,410$97,410

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine601$30$30
90480Admn sarscov2 vacc 1 dose489$38$38
91322Sarscov2 vac 50 mcg/0.5ml im485$154$154
90653Influenza vaccine, inactivated374$82$82
90662Influenza vaccine split virus, preservative free201$81$81
G0009Administration of pneumococcal vaccine55$28$28
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use53$290$290
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage16$76$76

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X
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.