SOUTH CAROLINA CVS PHARMACY LLC
Pharmacy · SUMMERVILLE, SC
Organization Active NPI 1245252998
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 216 | 688 | $53,529 | $51,888 | $51,888 |
| 2023 | 229 | 986 | $46,464 | $44,477 | $44,477 |
| 2022 | 279 | 926 | $34,753 | $31,590 | $31,590 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 188 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 148 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 143 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 110 | $153 | $153 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 33 | $143 | $143 |
| 90653 | Influenza vaccine, inactivated | 26 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 13 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 50007044 | SC |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.