GRAND ST PAUL CVS LLC
Pharmacy · COON RAPIDS, MN
Organization Active NPI 1770683112
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 104 | 334 | $26,991 | $26,341 | $26,341 |
| 2023 | 309 | 1,636 | $62,313 | $59,533 | $59,533 |
| 2022 | 355 | 1,539 | $37,560 | $32,873 | $32,873 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 92 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 92 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 72 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 58 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 2627326 | 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.