WISCONSIN CVS PHARMACY LLC
Pharmacy · ASHWAUBENON, WI
Organization Active NPI 1932121530
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 116 | 400 | $31,008 | $30,313 | $30,313 |
| 2023 | 164 | 624 | $32,945 | $31,511 | $31,511 |
| 2022 | 113 | 403 | $12,113 | $11,003 | $11,003 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 105 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 93 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 92 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 84 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 19 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 8058042 | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.