MONTANA CVS PHARMACY LLC
Pharmacy · HELENA, MT
Organization Active NPI 1114962115
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 588 | 2,046 | $161,137 | $153,909 | $153,909 |
| 2023 | 729 | 2,882 | $158,887 | $145,790 | $145,790 |
| 2022 | 803 | 2,660 | $95,573 | $84,086 | $84,086 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 518 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 484 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 470 | $145 | $145 |
| 90662 | Influenza vaccine split virus, preservative free | 327 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 159 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 21 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $292 | $292 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 14 | $158 | $158 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 13 | $36 | $36 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | $76 | $76 |
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.