GRAND ST PAUL CVS LLC
Pharmacy · MAPLEWOOD, MN
Organization Active NPI 1245339555
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 169 | 554 | $46,004 | $44,249 | $44,249 |
| 2023 | 266 | 1,609 | $43,293 | $40,216 | $40,216 |
| 2022 | 315 | 1,387 | $31,530 | $28,395 | $28,395 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 148 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 144 | $147 | $147 |
| G0008 | Administration of influenza virus vaccine | 117 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 94 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2627038 | MN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Minnesota
- NPI 1003327917
- NPI 1457533143
- NPI 1821048950
- NPI 1366006975
- NPI 1235278102
- NPI 1134231590
- NPI 1194524603
- NPI 1952285322
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.