PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy · HAVERTOWN, PA
Organization Active NPI 1972607729
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 600 | 1,898 | $155,928 | $152,597 | $152,597 |
| 2023 | 811 | 4,123 | $141,398 | $136,095 | $136,095 |
| 2022 | 1,062 | 4,618 | $113,059 | $100,244 | $100,244 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 489 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 488 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 426 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 311 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 100 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 34 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 34 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PP414553L | PA |
| 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.