NEBRASKA CVS PHARMACY LLC
Pharmacy · BELLEVUE, NE
Organization Active NPI 1760404461
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 144 | 484 | $37,744 | $36,853 | $36,853 |
| 2023 | 197 | 710 | $43,208 | $40,768 | $40,768 |
| 2022 | 245 | 578 | $26,392 | $21,605 | $21,605 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 125 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 114 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 113 | $157 | $157 |
| 90662 | Influenza vaccine split virus, preservative free | 81 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 40 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 3068 | NE |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.