GRAND ST PAUL CVS LLC
Pharmacy · WHITE BEAR LAKE, MN
Organization Active NPI 1508051582
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 288 | 968 | $77,724 | $75,254 | $75,254 |
| 2023 | 400 | 2,214 | $70,224 | $65,128 | $65,128 |
| 2022 | 458 | 2,049 | $49,544 | $43,730 | $43,730 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 258 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 254 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 221 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 115 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 98 | $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.