GRAND ST PAUL CVS LLC
Pharmacy · WHITE BEAR LAKE, MN
Organization Active NPI 1972602274
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 459 | 1,560 | $126,734 | $122,879 | $122,879 |
| 2023 | 690 | 4,237 | $124,189 | $115,407 | $115,407 |
| 2022 | 734 | 4,160 | $84,790 | $77,120 | $77,120 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 401 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 394 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 358 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 230 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 112 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 21 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 262578-4 | 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.