ARIZONA CVS STORES LLC
Pharmacy · MESA, AZ
Organization Active NPI 1417991886
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 142 | 450 | $35,215 | $34,233 | $34,233 |
| 2023 | 211 | 1,025 | $39,208 | $37,414 | $37,414 |
| 2022 | 248 | 637 | $25,904 | $21,482 | $21,482 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 112 | $38 | $38 |
| G0008 | Administration of influenza virus vaccine | 111 | $30 | $30 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 110 | $154 | $154 |
| 90662 | Influenza vaccine split virus, preservative free | 73 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 30 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| 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.