ARIZONA CVS STORES LLC
Pharmacy · PHOENIX, AZ
Organization Active NPI 1841394731
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 22 | 76 | $6,150 | $5,962 | $5,962 |
| 2023 | 37 | 104 | $7,820 | $7,126 | $7,126 |
| 2022 | 45 | 111 | $4,268 | $3,653 | $3,653 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 21 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 17 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 14 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 14 | $149 | $149 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | Y03681 | AZ |
| 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.