MISSOURI CVS PHARMACY, L.L.C.
Pharmacy · LIBERTY, MO
Organization Active NPI 1740380021
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 401 | 1,252 | $98,833 | $96,604 | $96,604 |
| 2023 | 515 | 2,900 | $61,577 | $60,131 | $60,131 |
| 2022 | 435 | 1,933 | $50,932 | $49,935 | $49,935 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 341 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 268 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 256 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 255 | $158 | $158 |
| 90653 | Influenza vaccine, inactivated | 53 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 29 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 29 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2004023150 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.