WISCONSIN CVS PHARMACY LLC
Pharmacy · APPLETON, WI
Organization Active NPI 1972769453
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 273 | 886 | $70,961 | $69,227 | $69,227 |
| 2023 | 341 | 1,510 | $65,684 | $62,639 | $62,639 |
| 2022 | 415 | 1,519 | $46,062 | $39,533 | $39,533 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 216 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 215 | $156 | $156 |
| G0008 | Administration of influenza virus vaccine | 214 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 163 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 38 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 13 | $27 | $27 |
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.