GRAND ST PAUL CVS LLC
Pharmacy · GRAND RAPIDS, MN
Organization Active NPI 1396767075
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 322 | 1,154 | $91,584 | $89,595 | $89,595 |
| 2023 | 352 | 1,292 | $75,669 | $72,792 | $72,792 |
| 2022 | 504 | 1,613 | $59,001 | $52,924 | $52,924 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 285 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 281 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 275 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 218 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 54 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 11 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 340283 | MN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.