ARIZONA CVS STORES LLC
Pharmacy · CAMP VERDE, AZ
Organization Active NPI 1326082678
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 477 | 1,550 | $120,492 | $115,563 | $115,563 |
| 2023 | 673 | 2,755 | $131,049 | $121,559 | $121,559 |
| 2022 | 857 | 2,584 | $104,786 | $92,434 | $92,434 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 430 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 313 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 308 | $146 | $146 |
| 90662 | Influenza vaccine split virus, preservative free | 204 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 190 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 32 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 31 | $291 | $291 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 16 | $22 | $22 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | $76 | $76 |
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.