GRAND ST PAUL CVS LLC
Pharmacy · EDEN PRAIRIE, MN
Organization Active NPI 1871515551
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 389 | 1,276 | $104,766 | $100,831 | $100,831 |
| 2023 | 514 | 2,224 | $97,236 | $88,691 | $88,691 |
| 2022 | 807 | 2,920 | $91,778 | $80,630 | $80,630 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 369 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 364 | $147 | $147 |
| G0008 | Administration of influenza virus vaccine | 260 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 232 | $82 | $82 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 12 | $36 | $36 |
| 90653 | Influenza vaccine, inactivated | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 601593 | 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.