UTAH CVS PHARMACY LLC
Pharmacy · SOUTH JORDAN, UT
Organization Active NPI 1356363030
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 98 | 350 | $29,103 | $27,956 | $27,956 |
| 2023 | 101 | 311 | $24,604 | $22,287 | $22,287 |
| 2022 | 77 | 186 | $8,878 | $7,545 | $7,545 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 84 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 83 | $148 | $148 |
| G0008 | Administration of influenza virus vaccine | 81 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 56 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 25 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 9610059-1703 | UT |
Other Pharmacy providers in Utah
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.