PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy · HANOVER, PA
Organization Active NPI 1588762215
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 585 | 1,772 | $140,663 | $136,045 | $136,045 |
| 2023 | 854 | 4,005 | $161,485 | $148,288 | $148,288 |
| 2022 | 1,076 | 4,606 | $116,235 | $103,974 | $103,974 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 446 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 417 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 414 | $150 | $150 |
| 90662 | Influenza vaccine split virus, preservative free | 317 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 114 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 23 | $27 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PP412002L | PA |
| 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.