Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › EDEN PRAIRIE › GRAND ST PAUL CVS LLC

GRAND ST PAUL CVS LLC

NPI: 1871515551 · EDEN PRAIRIE, MN 55344 · 3336C0003X

$472.65
Total Medicaid Paid
200
Total Claims
194
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 200 $472.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 58 58 $407.30
0001A 31 31 $65.35
91300 111 105 $0.00