GRAND ST PAUL CVS LLC
Pharmacy · DULUTH, MN
Organization Active NPI 1467474130
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 491 | 1,764 | $140,336 | $135,775 | $135,775 |
| 2023 | 721 | 2,656 | $165,218 | $151,722 | $151,722 |
| 2022 | 729 | 2,084 | $83,238 | $73,687 | $73,687 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 448 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 448 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 422 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 291 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 113 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $26 | $26 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 264931 | 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.