WALMART INC.
Community/Retail Pharmacy · NORTH LOGAN, UT
Organization Active NPI 1770500969
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 115 | 400 | $29,308 | $28,645 | $28,645 |
| 2023 | 109 | 379 | $25,398 | $24,343 | $24,343 |
| 2022 | 179 | 554 | $15,137 | $14,616 | $14,616 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 100 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 95 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 84 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 50 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 33 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 16 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1335051703 | 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.