COSTCO WHOLESALE CORPORATION
Community/Retail Pharmacy · POCATELLO, ID
Organization Active NPI 1891942413
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 387 | 1,328 | $109,776 | $103,191 | $103,191 |
| 2023 | 513 | 1,561 | $103,805 | $96,870 | $96,870 |
| 2022 | 441 | 866 | $37,155 | $35,095 | $35,095 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 345 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 331 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 284 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 127 | $154 | $154 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 122 | $151 | $151 |
| 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 | 35 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 34 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 34 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2273RP | ID |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.