WALGREEN CO
Pharmacy · MIDVALE, UT
Organization Active NPI 1114932159
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 113 | 390 | $31,483 | $29,586 | $29,586 |
| 2023 | 399 | 1,539 | $82,708 | $76,024 | $76,024 |
| 2022 | 390 | 1,272 | $53,564 | $34,978 | $34,978 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 97 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 95 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 95 | $149 | $149 |
| 90662 | Influenza vaccine split virus, preservative free | 58 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 36 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 58048111703 | UT |
| 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.