ARIZONA CVS STORES LLC
Pharmacy · GOODYEAR, AZ
Organization Active NPI 1669576559
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 362 | 1,158 | $91,925 | $87,347 | $87,347 |
| 2023 | 412 | 1,763 | $83,844 | $77,141 | $77,141 |
| 2022 | 586 | 1,834 | $67,035 | $57,285 | $57,285 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 292 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 292 | $144 | $144 |
| G0008 | Administration of influenza virus vaccine | 280 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 204 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 65 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | Y03679 | AZ |
| 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.