WALGREEN CO
Pharmacy · WEST LEBANON, NH
Organization Active NPI 1801801881
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,171 | 4,070 | $344,545 | $331,013 | $331,013 |
| 2023 | 1,341 | 5,375 | $283,427 | $245,651 | $245,651 |
| 2022 | 1,027 | 4,249 | $145,071 | $97,755 | $97,755 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,182 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,175 | $147 | $147 |
| G0008 | Administration of influenza virus vaccine | 787 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 505 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 233 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 66 | $27 | $27 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 64 | $288 | $288 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 18 | $71 | $71 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 18 | $22 | $22 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 13 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 0675P | NH |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.