MONTANA CVS PHARMACY LLC
Pharmacy · HELENA, MT
Organization Active NPI 1053614370
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 525 | 1,812 | $142,769 | $136,365 | $136,365 |
| 2023 | 554 | 2,243 | $119,372 | $109,846 | $109,846 |
| 2022 | 471 | 1,436 | $53,135 | $46,444 | $46,444 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 449 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 446 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 443 | $145 | $145 |
| 90662 | Influenza vaccine split virus, preservative free | 246 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 175 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 11 | $29 | $29 |
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.