KANSAS CVS PHARMACY LLC
Pharmacy · WICHITA, KS
Organization Active NPI 1528404274
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 165 | 522 | $41,717 | $40,335 | $40,335 |
| 2023 | 193 | 830 | $35,065 | $33,547 | $33,547 |
| 2022 | 416 | 1,123 | $41,484 | $35,972 | $35,972 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 139 | $39 | $39 |
| G0008 | Administration of influenza virus vaccine | 120 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 111 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 100 | $153 | $153 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 33 | $143 | $143 |
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.