MISSISSIPPI CVS PHARMACY, L.L.C.

Pharmacy · BOONEVILLE, MS

Organization Active NPI 1255647541

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024216656$51,926$49,541$49,541
2023266992$47,026$43,044$43,044
2022239655$29,086$25,708$25,708

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine180$29$29
90662Influenza vaccine split virus, preservative free133$82$82
90480Admn sarscov2 vacc 1 dose128$38$38
91320Sarscv2 vac 30mcg trs-suc im128$147$147
90653Influenza vaccine, inactivated29$82$82
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use20$291$291
G0009Administration of pneumococcal vaccine20$27$27

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.