CVS STATE CAPITAL LLC
Pharmacy · WESTBROOK, ME
Organization Active NPI 1871697797
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 216 | 678 | $53,608 | $52,411 | $52,411 |
| 2023 | 379 | 2,085 | $70,757 | $67,832 | $67,832 |
| 2022 | 468 | 2,014 | $49,045 | $42,643 | $42,643 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 171 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 168 | $156 | $156 |
| G0008 | Administration of influenza virus vaccine | 164 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 112 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 44 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PH50000015 | ME |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Maine
- NPI 1982485843
- NPI 1912422239
- NPI 1194038620
- NPI 1174006647
- NPI 1871076117
- NPI 1922031582
- NPI 1750463808
- NPI 1861844300
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.