WALGREEN CO
Pharmacy · TAHLEQUAH, OK
Organization Active NPI 1861662173
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 217 | 694 | $57,704 | $55,235 | $55,235 |
| 2023 | 362 | 1,353 | $76,811 | $71,193 | $71,193 |
| 2022 | 525 | 1,828 | $73,229 | $48,224 | $48,224 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 174 | $30 | $30 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 147 | $156 | $156 |
| 90480 | Admn sarscov2 vacc 1 dose | 147 | $37 | $37 |
| 90653 | Influenza vaccine, inactivated | 96 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 58 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 26 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $286 | $286 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | $71 | $71 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 36-5301 | OK |
| 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.