SOUTH CAROLINA CVS PHARMACY LLC
Pharmacy · MT PLEASANT, SC
Organization Active NPI 1417050188
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 382 | 1,208 | $98,438 | $95,916 | $95,916 |
| 2023 | 359 | 1,538 | $61,608 | $59,057 | $59,057 |
| 2022 | 591 | 2,041 | $57,668 | $50,775 | $50,775 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 302 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 299 | $154 | $154 |
| G0008 | Administration of influenza virus vaccine | 278 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 133 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 131 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 24 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 50004361 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in South Carolina
- NPI 1366502007
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- NPI 1033212527
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.