WISCONSIN CVS PHARMACY LLC
Pharmacy · APPLETON, WI
Organization Active NPI 1619918588
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 351 | 1,206 | $97,002 | $93,452 | $93,452 |
| 2023 | 537 | 2,241 | $120,098 | $109,370 | $109,370 |
| 2022 | 587 | 1,902 | $70,888 | $59,838 | $59,838 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 308 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 306 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 281 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 218 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 46 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 14 | $25 | $25 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $288 | $288 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 11 | $36 | $36 |
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.