WALGREEN CO
Pharmacy · LA VISTA, NE
Organization Active NPI 1346255387
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 240 | 844 | $69,463 | $65,784 | $65,784 |
| 2023 | 328 | 1,152 | $72,285 | $64,418 | $64,418 |
| 2022 | 429 | 1,554 | $66,131 | $41,749 | $41,749 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 202 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 201 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 199 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 146 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 34 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 21 | $25 | $25 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $288 | $288 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 13 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 1612 | NE |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Nebraska
- NPI 1639640071
- NPI 1144585217
- NPI 1366360059
- NPI 1982650297
- NPI 1609310192
- NPI 1073906525
- NPI 1306879275
- NPI 1982688537
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.