GRAND ST PAUL CVS LLC
Pharmacy · WINONA, MN
Organization Active NPI 1417979105
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 169 | 608 | $47,299 | $45,808 | $45,808 |
| 2023 | 221 | 820 | $44,597 | $41,029 | $41,029 |
| 2022 | 257 | 974 | $25,924 | $23,636 | $23,636 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 155 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 145 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 144 | $149 | $149 |
| 90662 | Influenza vaccine split virus, preservative free | 128 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 202829 | MN |
Other Pharmacy providers in Minnesota
- NPI 1295740421
- NPI 1821048950
- NPI 1366006975
- NPI 1235278102
- NPI 1134231590
- NPI 1194524603
- NPI 1952285322
- NPI 1972924132
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.