WALMART INC.
Community/Retail Pharmacy · EVANSTON, WY
Organization Active NPI 1720005952
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 225 | 740 | $54,698 | $52,716 | $52,716 |
| 2023 | 303 | 1,068 | $67,960 | $66,196 | $66,196 |
| 2022 | 323 | 992 | $39,462 | $38,641 | $38,641 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 199 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 193 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 144 | $15 | $15 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 97 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 41 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 27 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 52-02445 | WY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Wyoming
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.