SOUTH CAROLINA CVS PHARMACY LLC
Pharmacy · HARTSVILLE, SC
Organization Active NPI 1922101781
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 510 | 1,489 | $113,085 | $110,178 | $110,178 |
| 2023 | 723 | 3,252 | $125,588 | $120,594 | $120,594 |
| 2022 | 948 | 4,542 | $127,570 | $118,706 | $118,706 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 460 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 387 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 238 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 236 | $156 | $156 |
| 90653 | Influenza vaccine, inactivated | 48 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 46 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 40 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 50004521 | SC |
| 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.