ARIZONA CVS STORES LLC
Pharmacy · PHOENIX, AZ
Organization Active NPI 1700820057
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 139 | 476 | $38,473 | $37,151 | $37,151 |
| 2023 | 130 | 508 | $23,498 | $22,471 | $22,471 |
| 2022 | 131 | 283 | $14,047 | $12,247 | $12,247 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 117 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 107 | $41 | $41 |
| 90662 | Influenza vaccine split virus, preservative free | 94 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 90 | $150 | $150 |
| 90653 | Influenza vaccine, inactivated | 15 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 14 | $143 | $143 |
| G0009 | Administration of pneumococcal vaccine | 14 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $291 | $291 |
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.