OHIO CVS STORES LLC
Pharmacy · MEDINA, OH
Organization Active NPI 1548363203
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 393 | 1,302 | $104,745 | $101,316 | $101,316 |
| 2023 | 508 | 2,438 | $104,232 | $95,777 | $95,777 |
| 2022 | 695 | 2,948 | $82,711 | $71,475 | $71,475 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 329 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 326 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 309 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 233 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 67 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 13 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2398350 | OH |
| 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.