WALMART INC.
Community/Retail Pharmacy · KAPOLEI, HI
Organization Active NPI 1568733178
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 105 | 324 | $23,362 | $22,764 | $22,764 |
| 2023 | 201 | 1,010 | $31,479 | $30,710 | $30,710 |
| 2022 | 252 | 1,484 | $28,545 | $28,004 | $28,004 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 81 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 77 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 70 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 48 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 22 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 11 | $24 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY-810 | HI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Hawaii
- NPI 1568718302
- NPI 1366689606
- NPI 1083959993
- NPI 1205424579
- NPI 1811318926
- NPI 1790081685
- NPI 1487047213
- NPI 1588988257
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.