MISSOURI CVS PHARMACY, L.L.C.

Pharmacy · SAINT JOSEPH, MO

Organization Active NPI 1114026424

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20245051,704$133,974$128,548$128,548
20237702,997$164,099$149,249$149,249
20228802,631$100,627$88,147$88,147

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine427$30$30
90480Admn sarscov2 vacc 1 dose406$39$39
91320Sarscv2 vac 30mcg trs-suc im404$149$149
90662Influenza vaccine split virus, preservative free318$82$82
90653Influenza vaccine, inactivated80$82$82
G0009Administration of pneumococcal vaccine19$29$29
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use16$292$292
90661Influenza vaccine, trivalent derived from cell cultures14$36$36

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X2004023122MO
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.