WALGREEN CO
Pharmacy · MANCHESTER CENTER, VT
Organization Active NPI 1811410400
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 612 | 2,034 | $174,839 | $168,820 | $168,820 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 539 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 474 | $157 | $157 |
| G0008 | Administration of influenza virus vaccine | 418 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 202 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 191 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 64 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 60 | $26 | $26 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 60 | $292 | $292 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 13 | $36 | $36 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 12 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| 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.