MISSOURI CVS PHARMACY, L.L.C.
Community/Retail Pharmacy · ST. LOUIS, MO
Organization Active NPI 1700822897
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 69 | 224 | $17,922 | $17,343 | $17,343 |
| 2023 | 93 | 275 | $20,296 | $18,510 | $18,510 |
| 2022 | 112 | 230 | $12,083 | $10,054 | $10,054 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 58 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 58 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 51 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 23 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 17 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Diabetes Educator Registered Nurse | 163WD0400X | — | — | |
| Medical Specialty Clinic/Center | 261QM2500X | — | — | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 005845 | MO | |
| Pharmacy | 333600000X | 005845 | MO |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.