WALGREEN CO
Pharmacy · MATTOON, IL
Organization Active NPI 1629083761
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 454 | 1,478 | $120,658 | $116,039 | $116,039 |
| 2023 | 610 | 2,011 | $130,918 | $122,493 | $122,493 |
| 2022 | 699 | 2,084 | $104,701 | $64,082 | $64,082 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 369 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 328 | $37 | $37 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 328 | $157 | $157 |
| 90662 | Influenza vaccine split virus, preservative free | 223 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 107 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 42 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 39 | $290 | $290 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 20 | $22 | $22 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 14 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 54004542 | IL |
| 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.