TENNESSEE CVS PHARMACY LLC
Pharmacy · CLEVELAND, TN
Organization Active NPI 1780860700
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 69 | 216 | $17,061 | $16,503 | $16,503 |
| 2023 | 153 | 1,329 | $33,003 | $31,762 | $31,762 |
| 2022 | 224 | 1,398 | $31,105 | $28,942 | $28,942 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 64 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 58 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 35 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 35 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 4476 | TN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.