PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy · HAWLEY, PA
Organization Active NPI 1376641993
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 530 | 1,592 | $127,664 | $124,645 | $124,645 |
| 2023 | 590 | 2,544 | $108,943 | $103,665 | $103,665 |
| 2022 | 997 | 4,060 | $104,761 | $90,111 | $90,111 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 397 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 369 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 365 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 312 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 68 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 30 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $291 | $291 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 11 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PP-414875-L | PA |
| 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.