GRAND ST. PAUL CVS, LLC.
Pharmacy · BURNSVILLE, MN
Organization Active NPI 1841549557
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 188 | 660 | $54,512 | $53,132 | $53,132 |
| 2023 | 313 | 1,613 | $54,141 | $51,951 | $51,951 |
| 2022 | 477 | 1,617 | $46,737 | $40,630 | $40,630 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 174 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 170 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 143 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 68 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 61 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 13 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Minnesota
- NPI 1003289257
- NPI 1639191307
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- NPI 1124033444
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- NPI 1366006975
- NPI 1235278102
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.