WALMART INC.
Community/Retail Pharmacy · COTTAGE GROVE, MN
Organization Active NPI 1730519562
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 133 | 468 | $34,206 | $33,148 | $33,148 |
| 2023 | 226 | 1,210 | $43,964 | $42,745 | $42,745 |
| 2022 | 405 | 1,980 | $39,939 | $39,150 | $39,150 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 113 | $22 | $22 |
| 90480 | Admn sarscov2 vacc 1 dose | 111 | $15 | $15 |
| 90662 | Influenza vaccine split virus, preservative free | 103 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 83 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 26 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 264340 | MN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.