ARKANSAS CVS PHARMACY, L.L.C.
Pharmacy · BELLA VISTA, AR
Organization Active NPI 1396151403
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 491 | 1,654 | $129,714 | $126,006 | $126,006 |
| 2023 | 584 | 2,582 | $113,142 | $106,729 | $106,729 |
| 2022 | 535 | 1,745 | $54,911 | $46,548 | $46,548 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 424 | $29 | $29 |
| 90480 | Admn sarscov2 vacc 1 dose | 384 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 380 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 277 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 129 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 19 | $27 | $27 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $290 | $290 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 12 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | AR |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | AR | |
| Community/Retail Pharmacy | 3336C0003X | — | AR |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.