WALMART INC.
Community/Retail Pharmacy · CANON CITY, CO
Organization Active NPI 1386661643
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 365 | 1,235 | $88,556 | $86,369 | $86,369 |
| 2023 | 484 | 1,832 | $90,950 | $88,255 | $88,255 |
| 2022 | 775 | 2,541 | $86,399 | $84,804 | $84,804 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 322 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 291 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 262 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 189 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 72 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 34 | $19 | $19 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 20 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $291 | $291 |
| 90684 | Pcv21 vaccine im | 13 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 170000011 | CO |
| 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.