CVS STATE CAPITAL LLC
Pharmacy · AUBURN, ME
Organization Active NPI 1164140398
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 69 | 220 | $17,727 | $17,016 | $17,016 |
| 2023 | 75 | 239 | $16,923 | $15,244 | $15,244 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 53 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 53 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 53 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 42 | $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 Maine
- NPI 1861844300
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- NPI 1164947487
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- NPI 1174006647
- NPI 1871076117
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.