GRAND ST PAUL CVS LLC
Pharmacy · SHAKOPEE, MN
Organization Active NPI 1710005830
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 156 | 462 | $39,433 | $38,475 | $38,475 |
| 2023 | 221 | 1,114 | $42,137 | $40,413 | $40,413 |
| 2022 | 319 | 983 | $28,442 | $23,295 | $23,295 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 150 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 148 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 77 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 63 | $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.