WALMART INC.
Community/Retail Pharmacy · LA VISTA, NE
Organization Active NPI 1376977223
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 277 | 958 | $69,654 | $68,038 | $68,038 |
| 2023 | 382 | 1,480 | $78,279 | $75,648 | $75,648 |
| 2022 | 451 | 1,961 | $47,689 | $45,822 | $45,822 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 241 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 234 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 213 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 150 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 63 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 25 | $18 | $18 |
| 90684 | Pcv21 vaccine im | 19 | $317 | $317 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3006 | NE |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.