WISCONSIN CVS PHARMACY LLC
Pharmacy · MANITOWOC, WI
Organization Active NPI 1346282530
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 256 | 864 | $68,145 | $65,767 | $65,767 |
| 2023 | 298 | 973 | $62,251 | $56,560 | $56,560 |
| 2022 | 304 | 862 | $32,938 | $28,301 | $28,301 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 214 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 214 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 213 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 135 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 71 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.