MONTANA CVS PHARMACY LLC
Pharmacy · BOZEMAN, MT
Organization Active NPI 1063456432
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 397 | 1,324 | $108,760 | $103,130 | $103,130 |
| 2023 | 434 | 1,636 | $82,259 | $75,451 | $75,451 |
| 2022 | 413 | 1,046 | $43,337 | $37,687 | $37,687 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 359 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 353 | $143 | $143 |
| G0008 | Administration of influenza virus vaccine | 287 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 192 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 86 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 16 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 15085 | MT |
| 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.