IDAHO CVS PHARMACY LLC
Pharmacy · LEWISTON, ID
Organization Active NPI 1982626891
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 309 | 1,076 | $84,687 | $81,347 | $81,347 |
| 2023 | 367 | 1,323 | $79,837 | $72,727 | $72,727 |
| 2022 | 585 | 1,505 | $65,148 | $56,669 | $56,669 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 281 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 258 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 242 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 166 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 71 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 15 | $30 | $30 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 13 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | ID1209CP | ID | |
| Community/Retail Pharmacy | 3336C0003X | ID1209CP | ID |
Other Pharmacy providers in Idaho
- NPI 1154272250
- NPI 1225043342
- NPI 1770006058
- NPI 1255226502
- NPI 1700751666
- NPI 1891461885
- NPI 1457682114
- NPI 1790440469
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.