ALBERTSONS LLC
Community/Retail Pharmacy · BOISE, ID
Organization Active NPI 1356432140
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 108,403 | 378,440 | $38,554,693 | $30,424,449 | $30,424,449 |
| 2023 | 146,837 | 784,486 | $36,938,663 | $29,033,660 | $29,033,660 |
| 2022 | 203,484 | 1,231,643 | $36,497,216 | $26,566,954 | $26,566,954 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 94,511 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 86,834 | $32 | $32 |
| 90662 | Influenza vaccine split virus, preservative free | 77,423 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 54,630 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39,882 | $153 | $153 |
| G0009 | Administration of pneumococcal vaccine | 7,870 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 7,732 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 7,551 | $82 | $82 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 1,494 | $22 | $22 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 281 | $22 | $22 |
| 90682 | Influenza vaccine, quadrivalent derived from recombinant dna | 80 | $72 | $72 |
| 90732 | Pneumococcal vaccine, 23-valent | 79 | $131 | $131 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Pharmacist | 183500000X | — | — | |
| Home Delivered Meals | 332U00000X | — | — | |
| 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.