GRAND ST PAUL CVS LLC
Pharmacy · MINNEAPOLIS, MN
Organization Active NPI 1811919582
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 84 | 298 | $24,686 | $24,074 | $24,074 |
| 2023 | 129 | 777 | $21,770 | $20,828 | $20,828 |
| 2022 | 177 | 1,017 | $20,330 | $18,387 | $18,387 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 85 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 80 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 60 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 39 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 17 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 9030 | 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.