SOUTH CAROLINA CVS PHARMACY LLC
Pharmacy · SPARTANBURG, SC
Organization Active NPI 1235232901
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 441 | 1,366 | $106,771 | $103,328 | $103,328 |
| 2023 | 608 | 2,860 | $108,634 | $104,168 | $104,168 |
| 2022 | 510 | 1,719 | $55,419 | $50,067 | $50,067 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 362 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 301 | $40 | $40 |
| 90662 | Influenza vaccine split virus, preservative free | 229 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 222 | $153 | $153 |
| 90653 | Influenza vaccine, inactivated | 107 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 73 | $143 | $143 |
| G0009 | Administration of pneumococcal vaccine | 20 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $291 | $291 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 14 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 5004269 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in South Carolina
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.