NEW JERSEY CVS PHARMACY LLC

Pharmacy · MONTVALE, NJ

Organization Active NPI 1356433080

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20247852,422$195,544$190,424$190,424
20239334,449$179,922$169,099$169,099
20221,0943,847$119,612$107,576$107,576

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose592$43$43
91320Sarscv2 vac 30mcg trs-suc im584$149$149
G0008Administration of influenza virus vaccine576$30$30
90662Influenza vaccine split virus, preservative free450$82$82
90653Influenza vaccine, inactivated94$82$82
G0009Administration of pneumococcal vaccine43$31$31
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use39$289$289
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage17$76$76

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000XRS04210NJ
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.