GRAND ST PAUL CVS LLC
Pharmacy · WOODBURY, MN
Organization Active NPI 1609975911
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 340 | 1,200 | $96,908 | $93,730 | $93,730 |
| 2023 | 437 | 2,127 | $89,973 | $82,708 | $82,708 |
| 2022 | 440 | 1,887 | $50,005 | $44,353 | $44,353 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 311 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 307 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 275 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 242 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 22 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 14 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2626657 | MN |
| 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.