OHIO CVS STORES LLC
Pharmacy · WORTHINGTON, OH
Organization Active NPI 1710080437
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 565 | 1,904 | $154,514 | $148,985 | $148,985 |
| 2023 | 578 | 2,730 | $108,096 | $98,807 | $98,807 |
| 2022 | 751 | 2,919 | $85,443 | $71,809 | $71,809 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 497 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 492 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 434 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 255 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 163 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 21 | $27 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 21-30700 | OH |
| 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.