GRAND ST PAUL CVS LLC
Pharmacy · ST LOUIS PARK, MN
Organization Active NPI 1063512374
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 219 | 682 | $55,639 | $54,418 | $54,418 |
| 2023 | 290 | 1,058 | $54,824 | $52,413 | $52,413 |
| 2022 | 470 | 2,367 | $51,579 | $46,477 | $46,477 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 186 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 185 | $156 | $156 |
| G0008 | Administration of influenza virus vaccine | 149 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 119 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 23 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 262885 | 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.