CVS STATE CAPITAL, L.L.C.
Pharmacy · BIDDEFORD, ME
Organization Active NPI 1689807174
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 401 | 1,342 | $110,317 | $106,829 | $106,829 |
| 2023 | 637 | 3,409 | $126,180 | $116,085 | $116,085 |
| 2022 | 705 | 3,820 | $81,833 | $73,115 | $73,115 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 91320 | Sarscv2 vac 30mcg trs-suc im | 342 | $149 | $149 |
| 90480 | Admn sarscov2 vacc 1 dose | 342 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 301 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 225 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 53 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 28 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $291 | $291 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 11 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other 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.