TENNESSEE CVS PHARMACY LLC
Pharmacy · JACKSON, TN
Organization Active NPI 1992727648
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 304 | 872 | $67,020 | $64,879 | $64,879 |
| 2023 | 388 | 1,516 | $69,006 | $65,719 | $65,719 |
| 2022 | 502 | 2,091 | $66,250 | $62,189 | $62,189 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 258 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 170 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 159 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 155 | $154 | $154 |
| 90653 | Influenza vaccine, inactivated | 82 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 19 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 3996 | TN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.