CVS STATE CAPITAL LLC
Pharmacy · WATERVILLE, ME
Organization Active NPI 1508960428
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 360 | 1,166 | $95,356 | $91,187 | $91,187 |
| 2023 | 487 | 2,756 | $94,761 | $86,417 | $86,417 |
| 2022 | 517 | 2,797 | $62,090 | $55,200 | $55,200 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 309 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 305 | $148 | $148 |
| G0008 | Administration of influenza virus vaccine | 256 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 124 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 108 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 18 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PH50000111 | ME |
| 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.