CVS STATE CAPITAL LLC
Community/Retail Pharmacy · BIDDEFORD, ME
Organization Active NPI 1609958073
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 162 | 544 | $44,151 | $42,762 | $42,762 |
| 2023 | 312 | 1,239 | $68,071 | $62,655 | $62,655 |
| 2022 | 271 | 739 | $26,566 | $22,187 | $22,187 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 155 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 154 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 115 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 95 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH50001550 | ME |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Maine
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.