MISSOURI CVS PHARMACY LLC
Pharmacy · NIXA, MO
Organization Active NPI 1902144306
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 312 | 970 | $74,728 | $71,833 | $71,833 |
| 2023 | 397 | 1,771 | $77,180 | $70,619 | $70,619 |
| 2022 | 456 | 1,597 | $53,662 | $48,165 | $48,165 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 260 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 218 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 217 | $150 | $150 |
| 90662 | Influenza vaccine split virus, preservative free | 183 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 62 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| 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.