WALMART INC.
Community/Retail Pharmacy · KAHULUI, HI
Organization Active NPI 1457378705
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 87 | 292 | $22,553 | $22,025 | $22,025 |
| 2023 | 135 | 585 | $26,697 | $25,958 | $25,958 |
| 2022 | 186 | 748 | $23,420 | $22,981 | $22,981 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 72 | $22 | $22 |
| 90662 | Influenza vaccine split virus, preservative free | 70 | $80 | $80 |
| 90480 | Admn sarscov2 vacc 1 dose | 55 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 29 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 26 | $143 | $143 |
| G0009 | Administration of pneumococcal vaccine | 19 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY620 | HI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Hawaii
- NPI 1972613586
- NPI 1548598998
- NPI 1720033236
- NPI 1891737615
- NPI 1740548981
- NPI 1346286960
- NPI 1487047213
- NPI 1588988257
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.