CVS STATE CAPITAL LLC
Pharmacy · BATH, ME
Organization Active NPI 1235233156
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 656 | 2,234 | $180,803 | $173,212 | $173,212 |
| 2023 | 711 | 3,989 | $128,630 | $117,658 | $117,658 |
| 2022 | 1,055 | 6,344 | $122,300 | $110,820 | $110,820 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 599 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 594 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 499 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 278 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 192 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 21 | $22 | $22 |
| G0009 | Administration of pneumococcal vaccine | 19 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PH50000106 | ME |
| 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.