WALGREEN CO
Pharmacy · ESPANOLA, NM
Organization Active NPI 1629083522
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 193 | 611 | $52,176 | $50,102 | $50,102 |
| 2023 | 541 | 1,768 | $107,496 | $97,443 | $97,443 |
| 2022 | 304 | 1,147 | $40,262 | $24,637 | $24,637 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 173 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 173 | $151 | $151 |
| G0008 | Administration of influenza virus vaccine | 119 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 59 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 49 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 14 | $27 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PH00004004 | NM |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in New Mexico
- NPI 1851657464
- NPI 1760173876
- NPI 1962711770
- NPI 1902169816
- NPI 1992154579
- NPI 1790137735
- NPI 1861949851
- NPI 1902373970
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.