ARIZONA CVS STORES LLC
Pharmacy · ANTHEM, AZ
Organization Active NPI 1912948969
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 532 | 1,796 | $140,724 | $135,181 | $135,181 |
| 2023 | 546 | 2,352 | $108,455 | $99,770 | $99,770 |
| 2022 | 736 | 1,831 | $79,899 | $66,279 | $66,279 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 458 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 427 | $146 | $146 |
| 90480 | Admn sarscov2 vacc 1 dose | 427 | $41 | $41 |
| 90662 | Influenza vaccine split virus, preservative free | 240 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 204 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 13 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $290 | $290 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | $76 | $76 |
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.