CVS STATE CAPITAL LLC
Pharmacy · BRUNSWICK, ME
Organization Active NPI 1245334168
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 514 | 1,724 | $138,987 | $134,579 | $134,579 |
| 2023 | 613 | 3,831 | $106,626 | $98,259 | $98,259 |
| 2022 | 882 | 5,244 | $95,548 | $86,337 | $86,337 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 441 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 432 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 402 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 321 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 66 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 19 | $28 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PH50000791 | ME |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Maine
- NPI 1922031582
- NPI 1538683529
- NPI 1982485843
- NPI 1194038620
- NPI 1871076117
- NPI 1174006647
- NPI 1750463808
- NPI 1861844300
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.