TENNESSEE CVS PHARMACY LLC
Pharmacy · MARYVILLE, TN
Organization Active NPI 1417050121
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 479 | 1,526 | $119,927 | $115,810 | $115,810 |
| 2023 | 609 | 2,960 | $107,738 | $102,819 | $102,819 |
| 2022 | 769 | 2,572 | $86,082 | $76,091 | $76,091 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 400 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 340 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 339 | $153 | $153 |
| 90662 | Influenza vaccine split virus, preservative free | 313 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 69 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 23 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $291 | $291 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 12 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 464 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Tennessee
- NPI 1770505422
- NPI 1477568491
- NPI 1417375403
- NPI 1356730725
- NPI 1275720740
- NPI 1659830701
- NPI 1568054617
- NPI 1679546782
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.