PENNSYLVANIA CVS PHARMACY LLC
Pharmacy · HARRISBURG, PA
Organization Active NPI 1417051251
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 400 | 1,214 | $101,384 | $98,782 | $98,782 |
| 2023 | 666 | 3,690 | $102,546 | $98,115 | $98,115 |
| 2022 | 689 | 3,026 | $66,447 | $57,196 | $57,196 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 361 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 356 | $154 | $154 |
| G0008 | Administration of influenza virus vaccine | 233 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 177 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 45 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 13 | $26 | $26 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PP412709L | 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.