WALGREEN CO
Pharmacy · PRESCOTT, AZ
Organization Active NPI 1669487906
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 63 | 154 | $14,386 | $13,569 | $13,569 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 91320 | Sarscv2 vac 30mcg trs-suc im | 36 | $136 | $136 |
| 90480 | Admn sarscov2 vacc 1 dose | 36 | $41 | $41 |
| G0008 | Administration of influenza virus vaccine | 28 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 14 | $80 | $80 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 13 | $27 | $27 |
| 90653 | Influenza vaccine, inactivated | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | YO2360 | AZ |
| 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.