COSTCO WHOLESALE CORPORATION
Community/Retail Pharmacy · KAPOLEI, HI
Organization Active NPI 1366689606
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 136 | 434 | $35,673 | $33,971 | $33,971 |
| 2023 | 281 | 1,238 | $32,441 | $30,947 | $30,947 |
| 2022 | 419 | 1,676 | $28,263 | $27,698 | $27,698 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 105 | $41 | $41 |
| G0008 | Administration of influenza virus vaccine | 104 | $33 | $33 |
| 90653 | Influenza vaccine, inactivated | 101 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 71 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 32 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY766 | HI |
Other Community/Retail Pharmacy providers in Hawaii
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.