WALGREEN CO
Pharmacy · MISSOULA, MT
Organization Active NPI 1629083662
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 703 | 2,432 | $200,194 | $191,753 | $191,753 |
| 2023 | 1,385 | 5,530 | $247,290 | $223,277 | $223,277 |
| 2022 | 1,710 | 7,350 | $267,363 | $177,171 | $177,171 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 646 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 630 | $148 | $148 |
| G0008 | Administration of influenza virus vaccine | 539 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 406 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 102 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 31 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 31 | $288 | $288 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 17 | $71 | $71 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 16 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 1134 | MT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.