GRAND ST PAUL CVS LLC
Pharmacy · ST LOUIS PARK, MN
Organization Active NPI 1225336894
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 379 | 1,248 | $102,729 | $100,306 | $100,306 |
| 2023 | 539 | 3,374 | $94,002 | $90,030 | $90,030 |
| 2022 | 555 | 2,893 | $64,154 | $57,978 | $57,978 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 336 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 328 | $154 | $154 |
| G0008 | Administration of influenza virus vaccine | 267 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 229 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 26 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 21 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | MN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Minnesota
- NPI 1063512374
- NPI 1316969090
- NPI 1295979763
- NPI 1821048950
- NPI 1366006975
- NPI 1235278102
- NPI 1134231590
- NPI 1194524603
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.