GRAND ST PAUL CVS LLC
Pharmacy · CHASKA, MN
Organization Active NPI 1790708089
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 304 | 1,076 | $87,851 | $85,024 | $85,024 |
| 2023 | 381 | 1,551 | $81,190 | $74,390 | $74,390 |
| 2022 | 328 | 1,074 | $37,491 | $32,004 | $32,004 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 278 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 273 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 242 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 113 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 108 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 18 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $291 | $291 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 15 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 3713 | MN |
Other Pharmacy providers in Minnesota
- NPI 1417918855
- NPI 1932114154
- 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.