WALMART INC.
Community/Retail Pharmacy · MITCHELL, SD
Organization Active NPI 1841217015
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 260 | 842 | $62,293 | $59,741 | $59,741 |
| 2023 | 388 | 1,393 | $88,021 | $84,275 | $84,275 |
| 2022 | 565 | 1,585 | $55,634 | $54,340 | $54,340 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 224 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 213 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 170 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 111 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 48 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 27 | $26 | $26 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $291 | $291 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 11 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1001818 | SD |
| 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.