GRAND ST PAUL CVS LLC
Pharmacy · BLOOMINGTON, MN
Organization Active NPI 1376565044
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 167 | 510 | $40,582 | $39,685 | $39,685 |
| 2023 | 335 | 1,452 | $59,249 | $56,855 | $56,855 |
| 2022 | 521 | 1,832 | $55,155 | $48,102 | $48,102 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 130 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 125 | $156 | $156 |
| G0008 | Administration of influenza virus vaccine | 121 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 102 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 8992 | MN |
Other Pharmacy providers in Minnesota
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.