CVS STATE CAPITAL LLC
Pharmacy · PORTLAND, ME
Organization Active NPI 1194822676
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 232 | 750 | $61,412 | $59,796 | $59,796 |
| 2023 | 341 | 2,135 | $56,600 | $54,312 | $54,312 |
| 2022 | 372 | 1,864 | $38,029 | $33,390 | $33,390 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 217 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 158 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 153 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 81 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 60 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 57 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PH50000228 | ME |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Maine
- NPI 1194038620
- NPI 1881798700
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- NPI 1427152347
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- NPI 1801651724
- NPI 1174388086
- NPI 1154644623
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.