WALMART INC.
Community/Retail Pharmacy · RAWLINS, WY
Organization Active NPI 1013325182
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 237 | 834 | $60,396 | $58,908 | $58,908 |
| 2023 | 344 | 1,090 | $71,235 | $68,566 | $68,566 |
| 2022 | 484 | 1,319 | $63,125 | $61,840 | $61,840 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 218 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 209 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 174 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 152 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 25 | $18 | $18 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 22 | $152 | $152 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | R10124 | WY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.