IDAHO CVS PHARMACY LLC
Pharmacy · NAMPA, ID
Organization Active NPI 1336249648
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 53 | 158 | $12,686 | $11,984 | $11,984 |
| 2023 | 134 | 635 | $24,527 | $22,712 | $22,712 |
| 2022 | 105 | 525 | $11,827 | $11,099 | $11,099 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 41 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 32 | $39 | $39 |
| 90662 | Influenza vaccine split virus, preservative free | 32 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 32 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 41103RP | ID |
Other Pharmacy providers in Idaho
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.