WALGREEN CO
Pharmacy · PROVO, UT
Organization Active NPI 1689849606
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 126 | 438 | $36,652 | $35,058 | $35,058 |
| 2023 | 213 | 804 | $35,584 | $32,421 | $32,421 |
| 2022 | 285 | 843 | $35,621 | $24,114 | $24,114 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 109 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 109 | $149 | $149 |
| G0008 | Administration of influenza virus vaccine | 99 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 57 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 38 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 11 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 6945794-1703 | UT |
| 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.