GRAND ST PAUL CVS LLC
Pharmacy · MONTICELLO, MN
Organization Active NPI 1700936044
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 161 | 568 | $45,781 | $44,426 | $44,426 |
| 2023 | 242 | 1,098 | $52,340 | $48,233 | $48,233 |
| 2022 | 271 | 859 | $30,353 | $26,937 | $26,937 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 143 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 141 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 134 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 91 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 36 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 262973 | 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.