Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GRAND ST. PAUL CVS LLC

NPI: 1992081665 · NEW HOPE, MN 55427 · 332B00000X

$73.72
Total Medicaid Paid
144
Total Claims
141
Beneficiaries
2
Codes Billed
2021-01
First Month
2021-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 144 $73.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 65 64 $56.78
0011A 79 77 $16.94