WALMART INC.
Community/Retail Pharmacy · BROOKINGS, SD
Organization Active NPI 1114944386
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 293 | 1,040 | $76,882 | $73,891 | $73,891 |
| 2023 | 459 | 1,790 | $91,897 | $88,816 | $88,816 |
| 2022 | 559 | 2,156 | $63,655 | $62,218 | $62,218 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 253 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 241 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 238 | $11 | $11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 151 | $158 | $158 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 69 | $141 | $141 |
| G0009 | Administration of pneumococcal vaccine | 29 | $18 | $18 |
| 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 | 18 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 12 | $82 | $82 |
| 90684 | Pcv21 vaccine im | 11 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1001501 | SD |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.