GRAND ST PAUL CVS LLC
Pharmacy · VADNAIS HTS, MN
Organization Active NPI 1194748483
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 197 | 685 | $54,743 | $52,725 | $52,725 |
| 2023 | 250 | 953 | $52,158 | $47,535 | $47,535 |
| 2022 | 361 | 996 | $37,328 | $31,904 | $31,904 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 174 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 172 | $147 | $147 |
| G0008 | Administration of influenza virus vaccine | 162 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 107 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 48 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 212388 | MN |
Other Pharmacy providers in Minnesota
- NPI 1821048950
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- NPI 1275411506
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.