WALGREEN CO.
Pharmacy · WAIPAHU, HI
Organization Active NPI 1215177910
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 197 | 646 | $54,966 | $52,915 | $52,915 |
| 2023 | 398 | 1,374 | $78,253 | $68,452 | $68,452 |
| 2022 | 704 | 2,481 | $100,730 | $65,244 | $65,244 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 91320 | Sarscv2 vac 30mcg trs-suc im | 164 | $145 | $145 |
| 90480 | Admn sarscov2 vacc 1 dose | 164 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 136 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 111 | $81 | $81 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 23 | $26 | $26 |
| 90653 | Influenza vaccine, inactivated | 22 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PHY770 | HI |
| 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.