SOUTH CAROLINA CVS PHARMACY LLC

Pharmacy · CLEMSON, SC

Organization Active NPI 1376646067

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024230682$55,144$53,411$53,411
20233601,568$76,897$73,639$73,639
20223611,209$41,137$35,968$35,968

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose167$40$40
G0008Administration of influenza virus vaccine163$30$30
91320Sarscv2 vac 30mcg trs-suc im127$153$153
90662Influenza vaccine split virus, preservative free112$82$82
90653Influenza vaccine, inactivated46$82$82
91322Sarscov2 vac 50 mcg/0.5ml im35$143$143
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use11$291$291
G0009Administration of pneumococcal vaccine11$28$28

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X5004262SC
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.