OHIO CVS STORES LLC

Pharmacy · BELLEFONTAINE, OH

Organization Active NPI 1558464214

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024292860$66,300$64,704$64,704
20233121,102$62,076$59,334$59,334
2022314881$33,481$30,551$30,551

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine246$30$30
90662Influenza vaccine split virus, preservative free205$82$82
90480Admn sarscov2 vacc 1 dose164$37$37
91322Sarscov2 vac 50 mcg/0.5ml im162$157$157
G0009Administration of pneumococcal vaccine20$29$29
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use20$291$291
90653Influenza vaccine, inactivated17$82$82
90661Influenza vaccine, trivalent derived from cell cultures14$36$36

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X2485550OH
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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