WISCONSIN CVS PHARMACY LLC
Pharmacy · APPLETON, WI
Organization Active NPI 1376565077
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 165 | 544 | $43,353 | $42,061 | $42,061 |
| 2023 | 200 | 685 | $38,697 | $36,672 | $36,672 |
| 2022 | 207 | 783 | $23,353 | $20,393 | $20,393 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 133 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 132 | $40 | $40 |
| 90662 | Influenza vaccine split virus, preservative free | 107 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 103 | $153 | $153 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 27 | $143 | $143 |
| 90653 | Influenza vaccine, inactivated | 19 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 7945042 | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.