WALMART INC.
Community/Retail Pharmacy · SOUTH OGDEN, UT
Organization Active NPI 1790702991
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 148 | 520 | $37,435 | $36,600 | $36,600 |
| 2023 | 232 | 911 | $43,552 | $42,160 | $42,160 |
| 2022 | 321 | 1,100 | $29,947 | $28,949 | $28,949 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 132 | $9 | $9 |
| G0008 | Administration of influenza virus vaccine | 117 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 114 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 71 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 60 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 11 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 53237331703 | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Utah
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.