WALMART INC.
Community/Retail Pharmacy · EPHRAIM, UT
Organization Active NPI 1124045315
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 217 | 748 | $54,836 | $53,256 | $53,256 |
| 2023 | 228 | 738 | $43,226 | $42,085 | $42,085 |
| 2022 | 370 | 1,038 | $41,436 | $39,932 | $39,932 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 190 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 187 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 165 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 122 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 41 | $152 | $152 |
| G0009 | Administration of pneumococcal vaccine | 19 | $20 | $20 |
| 90684 | Pcv21 vaccine im | 13 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 47502691703 | UT |
| 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.