TENNESSEE CVS PHARMACY LLC
Pharmacy · JOHNSON CITY, TN
Organization Active NPI 1780787499
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 245 | 788 | $63,746 | $61,534 | $61,534 |
| 2023 | 337 | 1,992 | $53,528 | $51,130 | $51,130 |
| 2022 | 326 | 1,426 | $35,391 | $31,867 | $31,867 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 195 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 176 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 175 | $153 | $153 |
| 90662 | Influenza vaccine split virus, preservative free | 100 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 87 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 23 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 1420 | TN |
| 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.