MISSISSIPPI CVS PHARMACY LLC
Pharmacy · JACKSON, MS
Organization Active NPI 1518980804
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 69 | 244 | $20,500 | $19,560 | $19,560 |
| 2023 | 157 | 669 | $36,025 | $33,100 | $33,100 |
| 2022 | 131 | 718 | $17,181 | $15,265 | $15,265 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 60 | $29 | $29 |
| 90480 | Admn sarscov2 vacc 1 dose | 50 | $38 | $38 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 49 | $147 | $147 |
| 90662 | Influenza vaccine split virus, preservative free | 46 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 12 | $27 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 06404/1.2 | MS |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.