GRAND ST PAUL CVS LLC
Pharmacy · EAGAN, MN
Organization Active NPI 1043310485
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 215 | 724 | $60,037 | $58,588 | $58,588 |
| 2023 | 340 | 2,134 | $57,261 | $54,895 | $54,895 |
| 2022 | 364 | 1,639 | $35,766 | $31,534 | $31,534 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 193 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 191 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 155 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 104 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 38 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 14 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 262487-9 | MN |
| 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.