SOUTH CAROLINA CVS PHARMACY LLC
Pharmacy · LORIS, SC
Organization Active NPI 1619074119
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 200 | 598 | $46,430 | $45,164 | $45,164 |
| 2023 | 296 | 1,300 | $46,260 | $44,009 | $44,009 |
| 2022 | 601 | 2,706 | $63,992 | $58,462 | $58,462 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 170 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 115 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 115 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 79 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 77 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 14 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 50008847 | SC |
Other Pharmacy providers in South Carolina
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.