ARIZONA CVS STORES LLC
Pharmacy · LAKE HAVASU CITY, AZ
Organization Active NPI 1922285709
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 702 | 2,174 | $171,666 | $166,996 | $166,996 |
| 2023 | 958 | 3,951 | $188,383 | $180,968 | $180,968 |
| 2022 | 1,139 | 3,436 | $142,791 | $126,411 | $126,411 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 622 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 465 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 393 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 389 | $154 | $154 |
| 90653 | Influenza vaccine, inactivated | 116 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 72 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 71 | $290 | $290 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 29 | $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.