MISSOURI CVS PHARMACY, L.L.C.
Pharmacy · IRONTON, MO
Organization Active NPI 1619219680
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 95 | 258 | $19,576 | $18,906 | $18,906 |
| 2023 | 106 | 367 | $19,770 | $18,182 | $18,182 |
| 2022 | 160 | 555 | $17,751 | $15,784 | $15,784 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 74 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 69 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 53 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 52 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Missouri
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.