MISSOURI CVS PHARMACY LLC
Pharmacy · WENTZVILLE, MO
Organization Active NPI 1609060789
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 147 | 472 | $37,326 | $36,375 | $36,375 |
| 2023 | 212 | 932 | $38,405 | $36,831 | $36,831 |
| 2022 | 249 | 1,007 | $31,499 | $27,813 | $27,813 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 120 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 110 | $41 | $41 |
| 90662 | Influenza vaccine split virus, preservative free | 108 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 95 | $153 | $153 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 14 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 2007029735 | 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.