WALMART INC.
Community/Retail Pharmacy · LIHUE, HI
Organization Active NPI 1902823255
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 132 | 440 | $32,008 | $31,007 | $31,007 |
| 2023 | 198 | 839 | $40,329 | $39,224 | $39,224 |
| 2022 | 466 | 2,022 | $64,341 | $63,243 | $63,243 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 116 | $13 | $13 |
| G0008 | Administration of influenza virus vaccine | 96 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 93 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 64 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 51 | $152 | $152 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY550 | HI |
| 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.