MONTANA CVS PHARMACY LLC
Pharmacy · MISSOULA, MT
Organization Active NPI 1699719062
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,128 | 4,178 | $338,217 | $322,491 | $322,491 |
| 2023 | 1,278 | 6,178 | $288,425 | $264,964 | $264,964 |
| 2022 | 1,392 | 5,426 | $176,781 | $153,414 | $153,414 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,100 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,084 | $144 | $144 |
| G0008 | Administration of influenza virus vaccine | 946 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 607 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 304 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 43 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 43 | $290 | $290 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 20 | $36 | $36 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 16 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Montana
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.