UTAH CVS PHARMACY LLC
Pharmacy · WEST VALLEY CITY, UT
Organization Active NPI 1801209028
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 124 | 428 | $33,816 | $32,115 | $32,115 |
| 2023 | 203 | 758 | $40,960 | $39,241 | $39,241 |
| 2022 | 207 | 571 | $22,798 | $19,933 | $19,933 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 110 | $40 | $40 |
| G0008 | Administration of influenza virus vaccine | 101 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 94 | $147 | $147 |
| 90662 | Influenza vaccine split virus, preservative free | 78 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 15 | $143 | $143 |
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.