SOUTH CAROLINA CVS PHARMACY LLC
Pharmacy · MT PLEASANT, SC
Organization Active NPI 1902903404
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 413 | 1,314 | $105,554 | $102,679 | $102,679 |
| 2023 | 510 | 2,016 | $92,320 | $87,970 | $87,970 |
| 2022 | 579 | 2,152 | $67,124 | $61,450 | $61,450 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 320 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 301 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 298 | $154 | $154 |
| 90662 | Influenza vaccine split virus, preservative free | 292 | $81 | $81 |
| G0009 | Administration of pneumococcal vaccine | 36 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $292 | $292 |
| 90653 | Influenza vaccine, inactivated | 14 | $82 | $82 |
| 90732 | Pneumococcal vaccine, 23-valent | 12 | $131 | $131 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 50004452 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in South Carolina
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.