WALMART INC.
Community/Retail Pharmacy · PEARL CITY, HI
Organization Active NPI 1174541650
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 246 | 840 | $62,064 | $60,302 | $60,302 |
| 2023 | 362 | 1,491 | $68,275 | $66,797 | $66,797 |
| 2022 | 505 | 2,831 | $53,220 | $52,217 | $52,217 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 220 | $12 | $12 |
| G0008 | Administration of influenza virus vaccine | 178 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 176 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 135 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 85 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 22 | $27 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY 669 | HI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.