OKLAHOMA CVS PHARMACY LLC
Pharmacy · MOORE, OK
Organization Active NPI 1689778417
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 284 | 920 | $72,414 | $69,603 | $69,603 |
| 2023 | 336 | 1,389 | $66,664 | $61,313 | $61,313 |
| 2022 | 354 | 992 | $42,256 | $37,545 | $37,545 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 238 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 209 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 204 | $149 | $149 |
| 90662 | Influenza vaccine split virus, preservative free | 165 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 52 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 13 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $291 | $291 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 7-5385 | OK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | OK | |
| 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.