WALMART INC.
Community/Retail Pharmacy · MIDVALE, UT
Organization Active NPI 1689691875
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 163 | 580 | $43,869 | $42,915 | $42,915 |
| 2023 | 185 | 635 | $36,132 | $34,789 | $34,789 |
| 2022 | 265 | 752 | $24,262 | $23,403 | $23,403 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 137 | $9 | $9 |
| G0008 | Administration of influenza virus vaccine | 126 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 122 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 88 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 48 | $158 | $158 |
| G0009 | Administration of pneumococcal vaccine | 27 | $16 | $16 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2907631703 | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.