GRAND ST PAUL CVS LLC
Pharmacy · SAINT PAUL, MN
Organization Active NPI 1336248640
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 342 | 1,094 | $91,313 | $89,194 | $89,194 |
| 2023 | 422 | 2,607 | $71,462 | $68,365 | $68,365 |
| 2022 | 535 | 3,279 | $65,269 | $59,265 | $59,265 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 305 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 292 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 225 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 182 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 33 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 17 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $290 | $290 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 13 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2427041 | 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.