WALGREEN CO
Pharmacy · KAHULUI, HI
Organization Active NPI 1043541774
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 167 | 534 | $47,314 | $45,500 | $45,500 |
| 2023 | 401 | 2,187 | $70,026 | $62,500 | $62,500 |
| 2022 | 418 | 2,572 | $62,881 | $48,746 | $48,746 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 135 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 135 | $146 | $146 |
| G0008 | Administration of influenza virus vaccine | 106 | $32 | $32 |
| 90653 | Influenza vaccine, inactivated | 50 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 50 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 26 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $286 | $286 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PHY 781 | HI |
| 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.