PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy · SCRANTON, PA
Organization Active NPI 1639273428
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 359 | 1,092 | $86,266 | $84,290 | $84,290 |
| 2023 | 554 | 3,003 | $101,812 | $97,671 | $97,671 |
| 2022 | 789 | 3,416 | $90,518 | $78,978 | $78,978 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 271 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 263 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 261 | $157 | $157 |
| 90662 | Influenza vaccine split virus, preservative free | 169 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 80 | $82 | $82 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 17 | $36 | $36 |
| G0009 | Administration of pneumococcal vaccine | 12 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PP481362 | 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.