WALGREEN CO
Pharmacy · SANTA FE, NM
Organization Active NPI 1104120047
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 436 | 1,388 | $119,258 | $115,405 | $115,405 |
| 2023 | 573 | 2,084 | $109,543 | $96,966 | $96,966 |
| 2022 | 1,033 | 3,157 | $157,941 | $92,404 | $92,404 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 418 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 417 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 250 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 177 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 54 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $287 | $287 |
| G0009 | Administration of pneumococcal vaccine | 26 | $28 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PH00004113 | NM |
| 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.