PENNSYLVANIA CVS PHARMACY, L.L.C.

Pharmacy · PITTSTON, PA

Organization Active NPI 1861596652

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243621,088$88,266$86,121$86,121
20234652,436$87,433$83,865$83,865
20226762,600$74,051$62,927$62,927

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine265$30$30
90480Admn sarscov2 vacc 1 dose254$38$38
91322Sarscov2 vac 50 mcg/0.5ml im252$156$156
90662Influenza vaccine split virus, preservative free183$82$82
90653Influenza vaccine, inactivated63$82$82
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use25$291$291
G0009Administration of pneumococcal vaccine25$29$29

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000XPP-481084PA
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.