MISSOURI CVS PHARMACY, L.L.C.
Pharmacy · GLADSTONE, MO
Organization Active NPI 1124127436
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 221 | 700 | $56,284 | $54,483 | $54,483 |
| 2023 | 193 | 1,039 | $30,562 | $28,421 | $28,421 |
| 2022 | 326 | 1,265 | $35,930 | $31,636 | $31,636 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 178 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 178 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 165 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 118 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 38 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2004023149 | MO |
| 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.