MISSOURI CVS PHARMACY LLC
Pharmacy · SPRINGFIELD, MO
Organization Active NPI 1396786331
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 77 | 272 | $21,426 | $20,699 | $20,699 |
| 2023 | 130 | 433 | $27,263 | $25,813 | $25,813 |
| 2022 | 172 | 516 | $17,450 | $15,220 | $15,220 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 68 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 66 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 58 | $153 | $153 |
| 90662 | Influenza vaccine split virus, preservative free | 56 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 2006020055 | MO |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.