MISSOURI CVS PHARMACY LLC

Pharmacy · POPLAR BLUFF, MO

Organization Active NPI 1679906226

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024218624$49,374$48,225$48,225
2023257961$40,058$38,168$38,168
2022282660$39,950$36,403$36,403

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine168$30$30
90662Influenza vaccine split virus, preservative free135$82$82
90480Admn sarscov2 vacc 1 dose132$37$37
91322Sarscov2 vac 50 mcg/0.5ml im130$158$158
90653Influenza vaccine, inactivated30$82$82
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use12$292$292
G0009Administration of pneumococcal vaccine12$30$30

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.