COSTCO WHOLESALE CORPORATION
Community/Retail Pharmacy · FORT WAYNE, IN
Organization Active NPI 1548608821
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 150 | 473 | $38,132 | $35,730 | $35,730 |
| 2023 | 200 | 593 | $33,642 | $31,410 | $31,410 |
| 2022 | 267 | 656 | $19,148 | $18,082 | $18,082 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 126 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 120 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 106 | $38 | $38 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 65 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60006352B | IN |
Other Community/Retail Pharmacy providers in Indiana
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.