WISCONSIN CVS PHARMACY LLC
Pharmacy · GLENDALE, WI
Organization Active NPI 1649947573
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 170 | 578 | $47,497 | $45,162 | $45,162 |
| 2023 | 179 | 876 | $38,319 | $34,868 | $34,868 |
| 2022 | 340 | 1,478 | $38,208 | $32,027 | $32,027 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 172 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 169 | $145 | $145 |
| G0008 | Administration of influenza virus vaccine | 115 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 98 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 11 | $82 | $82 |
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.