SOUTH CAROLINA CVS PHARMACY LLC
Pharmacy · SPARTANBURG, SC
Organization Active NPI 1477656239
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 273 | 818 | $64,865 | $62,309 | $62,309 |
| 2023 | 489 | 1,942 | $92,559 | $84,418 | $84,418 |
| 2022 | 585 | 1,735 | $62,571 | $53,380 | $53,380 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 207 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 188 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 188 | $149 | $149 |
| 90662 | Influenza vaccine split virus, preservative free | 143 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 44 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 14 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 50004702 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.