COSTCO WHOLESALE CORPORATION
Community/Retail Pharmacy · PRESCOTT, AZ
Organization Active NPI 1023128626
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,291 | 4,031 | $322,288 | $304,475 | $304,475 |
| 2023 | 1,625 | 5,109 | $322,481 | $302,837 | $302,837 |
| 2022 | 2,348 | 4,994 | $199,331 | $190,076 | $190,076 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 1,126 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 1,079 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 828 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 550 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 232 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 59 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 59 | $291 | $291 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 46 | $157 | $157 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 26 | $76 | $76 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 21 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2806 | AZ |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.