OHIO CVS STORES LLC
Pharmacy · CANTON, OH
Organization Active NPI 1922398437
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 371 | 1,138 | $91,403 | $88,770 | $88,770 |
| 2023 | 402 | 1,914 | $69,389 | $66,147 | $66,147 |
| 2022 | 406 | 1,740 | $43,289 | $38,066 | $38,066 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 275 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 271 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 224 | $153 | $153 |
| 90662 | Influenza vaccine split virus, preservative free | 156 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 99 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 45 | $143 | $143 |
| G0009 | Administration of pneumococcal vaccine | 23 | $25 | $25 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $289 | $289 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 17 | $36 | $36 |
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.