GRAND ST PAUL CVS LLC
Pharmacy · EDEN PRAIRIE, MN
Organization Active NPI 1366690463
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 420 | 1,356 | $107,538 | $105,273 | $105,273 |
| 2023 | 671 | 3,477 | $118,105 | $112,707 | $112,707 |
| 2022 | 643 | 2,804 | $70,504 | $61,834 | $61,834 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 335 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 333 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 327 | $158 | $158 |
| 90662 | Influenza vaccine split virus, preservative free | 249 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 75 | $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.