GRAND ST PAUL CVS LLC
Pharmacy · SAINT PAUL, MN
Organization Active NPI 1518346865
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 324 | 1,016 | $83,291 | $81,136 | $81,136 |
| 2023 | 308 | 908 | $59,033 | $55,332 | $55,332 |
| 2022 | 533 | 2,589 | $58,097 | $51,356 | $51,356 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 297 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 210 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 206 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 176 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 75 | $143 | $143 |
| 90653 | Influenza vaccine, inactivated | 18 | $82 | $82 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 12 | $156 | $156 |
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.