CVS MANCHESTER NH L.L.C.

Pharmacy · WEST LEBANON, NH

Organization Active NPI 1477637064

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20248122,610$215,429$208,698$208,698
20237553,688$143,664$132,327$132,327
20228123,600$77,928$69,062$69,062

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose750$42$42
91320Sarscv2 vac 30mcg trs-suc im742$149$149
G0008Administration of influenza virus vaccine529$30$30
90662Influenza vaccine split virus, preservative free237$82$82
90653Influenza vaccine, inactivated234$82$82
90661Influenza vaccine, trivalent derived from cell cultures29$36$36
G0009Administration of pneumococcal vaccine26$31$31
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use26$291$291
90673Influenza vaccine, trivalent derived from recombinant dna15$82$82
90656Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage14$22$22

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X0151 PNH
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

Other Pharmacy providers in New Hampshire

See all Pharmacy providers in New Hampshire

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.