CVS STATE CAPITAL LLC
Pharmacy · AUGUSTA, ME
Organization Active NPI 1972789311
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 146 | 492 | $40,451 | $38,843 | $38,843 |
| 2023 | 196 | 925 | $37,210 | $34,257 | $34,257 |
| 2022 | 203 | 978 | $25,324 | $22,198 | $22,198 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 129 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 128 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 108 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 65 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 33 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PH50001547 | ME |
Other Pharmacy providers in Maine
- NPI 1376793257
- NPI 1841649639
- NPI 1558887950
- NPI 1871019455
- NPI 1982861811
- NPI 1982485843
- NPI 1194038620
- NPI 1174006647
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.