GRAND ST PAUL CVS LLC
Pharmacy · SAINT PAUL, MN
Organization Active NPI 1235151911
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 182 | 654 | $54,491 | $52,469 | $52,469 |
| 2023 | 373 | 2,430 | $73,729 | $68,494 | $68,494 |
| 2022 | 403 | 2,593 | $53,183 | $48,805 | $48,805 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 91320 | Sarscv2 vac 30mcg trs-suc im | 163 | $147 | $147 |
| 90480 | Admn sarscov2 vacc 1 dose | 163 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 141 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 100 | $81 | $81 |
| G0009 | Administration of pneumococcal vaccine | 23 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $292 | $292 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 20 | $36 | $36 |
| 90653 | Influenza vaccine, inactivated | 16 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 9056 | 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.