WALMART INC.
Community/Retail Pharmacy · MONTEVIDEO, MN
Organization Active NPI 1548287923
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 296 | 1,012 | $78,662 | $76,145 | $76,145 |
| 2023 | 380 | 1,408 | $94,778 | $92,126 | $92,126 |
| 2022 | 440 | 1,535 | $50,533 | $49,500 | $49,500 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 253 | $22 | $22 |
| 90662 | Influenza vaccine split virus, preservative free | 225 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 196 | $14 | $14 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 130 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 59 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 57 | $23 | $23 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 52 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 260960 | MN |
| 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.