WALMART INC.
Community/Retail Pharmacy · HAYDEN, ID
Organization Active NPI 1730493834
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 210 | 632 | $43,527 | $42,284 | $42,284 |
| 2023 | 314 | 1,017 | $51,899 | $50,101 | $50,101 |
| 2022 | 470 | 1,354 | $38,795 | $37,312 | $37,312 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 187 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 181 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 116 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 68 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 47 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 13 | $24 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 14644RP | ID |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Idaho
- NPI 1194771600
- NPI 1235986290
- NPI 1821159997
- NPI 1851894380
- NPI 1023179892
- NPI 1780793224
- NPI 1861665424
- NPI 1174394183
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.