MISSOURI CVS PHARMACY LLC
Pharmacy · GLADSTONE, MO
Organization Active NPI 1205871209
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 225 | 766 | $61,475 | $59,507 | $59,507 |
| 2023 | 252 | 1,153 | $49,404 | $45,531 | $45,531 |
| 2022 | 384 | 1,282 | $40,844 | $35,867 | $35,867 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 191 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 190 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 183 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 104 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 70 | $82 | $82 |
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.