WALMART INC.
Community/Retail Pharmacy · GRANITE CITY, IL
Organization Active NPI 1407873789
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 189 | 704 | $52,623 | $51,257 | $51,257 |
| 2023 | 272 | 1,221 | $63,312 | $60,934 | $60,934 |
| 2022 | 471 | 2,696 | $61,419 | $59,609 | $59,609 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 168 | $22 | $22 |
| 90480 | Admn sarscov2 vacc 1 dose | 160 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 157 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 92 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 68 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 24 | $25 | $25 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054011148 | IL |
| 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.