GRAND ST PAUL CVS LLC
Pharmacy · COON RAPIDS, MN
Organization Active NPI 1033131719
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 80 | 234 | $19,128 | $18,593 | $18,593 |
| 2023 | 141 | 637 | $27,287 | $26,255 | $26,255 |
| 2022 | 174 | 699 | $19,726 | $17,772 | $17,772 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 66 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 49 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 48 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 34 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 17 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 609113 | MN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.