GRAND ST. PAUL CVS LLC
Pharmacy · EDINA, MN
Organization Active NPI 1356639124
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 370 | 1,182 | $94,799 | $92,491 | $92,491 |
| 2023 | 581 | 3,269 | $98,275 | $90,430 | $90,430 |
| 2022 | 711 | 3,917 | $82,068 | $73,226 | $73,226 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 313 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 311 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 273 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 176 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 85 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| 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.