GRAND ST PAUL CVS LLC
Pharmacy · BUFFALO, MN
Organization Active NPI 1679595359
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 166 | 544 | $42,092 | $41,028 | $41,028 |
| 2023 | 297 | 1,160 | $62,429 | $59,959 | $59,959 |
| 2022 | 355 | 1,153 | $39,688 | $34,344 | $34,344 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 142 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 127 | $42 | $42 |
| 90662 | Influenza vaccine split virus, preservative free | 112 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 105 | $153 | $153 |
| 90653 | Influenza vaccine, inactivated | 23 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 22 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 361164 | MN |
Other Pharmacy providers in Minnesota
- NPI 1972924132
- NPI 1588947709
- NPI 1821048950
- NPI 1366006975
- NPI 1235278102
- NPI 1134231590
- NPI 1194524603
- NPI 1952285322
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.