WALGREEN CO
Pharmacy · DE PERE, WI
Organization Active NPI 1457398273
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 227 | 760 | $63,777 | $60,965 | $60,965 |
| 2023 | 414 | 1,865 | $83,750 | $75,704 | $75,704 |
| 2022 | 493 | 2,065 | $68,708 | $45,338 | $45,338 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 200 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 193 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 165 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 127 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 36 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $287 | $287 |
| G0009 | Administration of pneumococcal vaccine | 15 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 8639-042 | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.