WALMART INC.
Community/Retail Pharmacy · AMERICAN FORK, UT
Organization Active NPI 1215954409
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 99 | 342 | $24,988 | $24,305 | $24,305 |
| 2023 | 121 | 436 | $27,069 | $26,124 | $26,124 |
| 2022 | 191 | 572 | $29,884 | $29,046 | $29,046 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 89 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 87 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 70 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 54 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 14 | $149 | $149 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $16 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 56033691703 | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Utah
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.