COSTCO WHOLESALE CORPORATION
Community/Retail Pharmacy · GRAFTON, WI
Organization Active NPI 1851581854
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 492 | 1,552 | $125,881 | $118,093 | $118,093 |
| 2023 | 590 | 1,915 | $111,925 | $103,657 | $103,657 |
| 2022 | 856 | 2,501 | $66,099 | $62,660 | $62,660 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 400 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 377 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 356 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 197 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 136 | $155 | $155 |
| 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 | 23 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 20 | $28 | $28 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 14 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8771 | WI |
Other Community/Retail Pharmacy providers in Wisconsin
- NPI 1861085169
- NPI 1427786839
- NPI 1730574864
- NPI 1629219266
- NPI 1740236199
- NPI 1679835326
- NPI 1164170692
- NPI 1629530837
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.