WALMART INC.
Community/Retail Pharmacy · SPEARFISH, SD
Organization Active NPI 1396762563
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 382 | 1,254 | $91,333 | $88,867 | $88,867 |
| 2023 | 458 | 1,729 | $84,495 | $81,477 | $81,477 |
| 2022 | 436 | 1,362 | $54,023 | $52,856 | $52,856 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 349 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 325 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 226 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 173 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 53 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 52 | $26 | $26 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 42 | $292 | $292 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 21 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1001488 | SD |
| 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.