MISSOURI CVS PHARMACY LLC
Pharmacy · FARMINGTON, MO
Organization Active NPI 1104205749
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 147 | 478 | $38,017 | $37,027 | $37,027 |
| 2023 | 306 | 1,258 | $59,189 | $56,061 | $56,061 |
| 2022 | 359 | 889 | $37,166 | $32,356 | $32,356 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 121 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 108 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 107 | $157 | $157 |
| 90662 | Influenza vaccine split virus, preservative free | 95 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Missouri
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.