MISSOURI CVS PHARMACY, L.L.C.
Community/Retail Pharmacy · SAINT CHARLES, MO
Organization Active NPI 1255816013
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 106 | 308 | $22,057 | $21,528 | $21,528 |
| 2023 | 122 | 545 | $21,711 | $20,884 | $20,884 |
| 2022 | 132 | 383 | $13,613 | $11,924 | $11,924 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 102 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 70 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 50 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 49 | $157 | $157 |
| 90653 | Influenza vaccine, inactivated | 27 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| 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.