MISSOURI CVS PHARMACY LLC

Pharmacy · SPRINGFIELD, MO

Organization Active NPI 1851798011

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243691,174$93,996$90,797$90,797
20234031,728$75,723$71,865$71,865
20223621,351$38,282$33,700$33,700

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose298$39$39
G0008Administration of influenza virus vaccine279$30$30
91320Sarscv2 vac 30mcg trs-suc im265$153$153
90662Influenza vaccine split virus, preservative free168$82$82
90653Influenza vaccine, inactivated104$82$82
91322Sarscov2 vac 50 mcg/0.5ml im32$143$143

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.