WASHINGTON CVS PHARMACY LLC
Pharmacy · FREELAND, WA
Organization Active NPI 1356748255
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,398 | 5,245 | $438,526 | $424,716 | $424,716 |
| 2023 | 996 | 3,557 | $218,687 | $202,991 | $202,991 |
| 2022 | 1,169 | 3,013 | $130,007 | $116,828 | $116,828 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,414 | $40 | $40 |
| G0008 | Administration of influenza virus vaccine | 1,110 | $32 | $32 |
| 90653 | Influenza vaccine, inactivated | 1,035 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 701 | $154 | $154 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 651 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 99 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 99 | $290 | $290 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 61 | $154 | $154 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 22 | $22 | $22 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 18 | $22 | $22 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 13 | $36 | $36 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| 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.