CVS STATE CAPITAL, L.L.C.
Pharmacy · KENNEBUNK, ME
Organization Active NPI 1962644708
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,165 | 3,876 | $314,092 | $307,058 | $307,058 |
| 2023 | 1,264 | 6,652 | $237,198 | $226,372 | $226,372 |
| 2022 | 2,501 | 11,348 | $306,273 | $270,140 | $270,140 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,011 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1,006 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 880 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 538 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 301 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 47 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 46 | $290 | $290 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 21 | $36 | $36 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Maine
- NPI 1508381823
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- NPI 1871076117
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- NPI 1750463808
- NPI 1861844300
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.