GRAND ST PAUL CVS LLC
Pharmacy · MINNEAPOLIS, MN
Organization Active NPI 1154420453
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 172 | 612 | $49,733 | $48,342 | $48,342 |
| 2023 | 256 | 1,474 | $46,454 | $44,467 | $44,467 |
| 2022 | 278 | 1,224 | $30,996 | $27,074 | $27,074 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 169 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 131 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 127 | $153 | $153 |
| 90662 | Influenza vaccine split virus, preservative free | 97 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 40 | $143 | $143 |
| 90653 | Influenza vaccine, inactivated | 18 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 262507-2 | 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.