OHIO CVS STORES LLC
Pharmacy · CANFIELD, OH
Organization Active NPI 1356445175
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 443 | 1,398 | $112,382 | $108,768 | $108,768 |
| 2023 | 615 | 3,309 | $116,282 | $107,969 | $107,969 |
| 2022 | 767 | 3,478 | $93,603 | $83,257 | $83,257 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 348 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 326 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 321 | $150 | $150 |
| 90662 | Influenza vaccine split virus, preservative free | 228 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 109 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 25 | $28 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 021170500 | OH |
| 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.