COSTCO WHOLESALE CORPORATION
Community/Retail Pharmacy · CHARLOTTESVILLE, VA
Organization Active NPI 1649669904
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,575 | 9,479 | $800,786 | $757,133 | $757,133 |
| 2023 | 3,539 | 17,033 | $691,930 | $640,995 | $640,995 |
| 2022 | 3,906 | 27,164 | $332,412 | $322,355 | $322,355 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 2,791 | $39 | $39 |
| G0008 | Administration of influenza virus vaccine | 1,852 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 1,813 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,557 | $142 | $142 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1,131 | $152 | $152 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 103 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 93 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 91 | $290 | $290 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 20 | $76 | $76 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 19 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0201004656 | VA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.