OHIO CVS STORES LLC
Pharmacy · DAYTON, OH
Organization Active NPI 1912000621
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 81 | 283 | $23,080 | $22,293 | $22,293 |
| 2023 | 104 | 360 | $24,362 | $22,235 | $22,235 |
| 2022 | 96 | 207 | $8,783 | $7,146 | $7,146 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 69 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 69 | $151 | $151 |
| G0008 | Administration of influenza virus vaccine | 67 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 48 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2102250 | OH |
| 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.