WISCONSIN CVS PHARMACY LLC
Pharmacy · NEW BERLIN, WI
Organization Active NPI 1811919517
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 177 | 572 | $44,357 | $43,049 | $43,049 |
| 2023 | 189 | 832 | $40,866 | $39,203 | $39,203 |
| 2022 | 238 | 1,024 | $26,930 | $24,112 | $24,112 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 151 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 135 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 130 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 112 | $153 | $153 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 16 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 7994042 | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.