OHIO CVS STORES LLC
Pharmacy · DAYTON, OH
Organization Active NPI 1962505461
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 224 | 730 | $58,577 | $57,189 | $57,189 |
| 2023 | 229 | 757 | $40,284 | $38,264 | $38,264 |
| 2022 | 285 | 836 | $25,204 | $21,773 | $21,773 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 185 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 183 | $156 | $156 |
| G0008 | Administration of influenza virus vaccine | 171 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 133 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 23 | $82 | $82 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 11 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2102000 | 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.