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NPI 1114944592 · Mason City, IA · Community/Retail Pharmacy
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Walmart Inc. is a community/retail pharmacy provider located in Mason City, Iowa. This profile covers 10 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Walmart Inc. |
| Address | 4151 4th St Sw |
| City | Mason City |
| State | IA |
| ZIP | 50401 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | July 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $109.8K |
| Medicaid | $920 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 240 | $140 | $33.7K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 110 | $280 | $31K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 340 | $70 | $23.6K |
| G0008 | Administration of influenza virus vaccine | 350 | $30 | $9.6K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 420 | $10 | $4.2K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 250 | $10 | $3.2K |
| G0009 | Administration of pneumococcal vaccine | 110 | $20 | $2.2K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 10 | $130 | $1.4K |
| 0134A | N/A | 20 | $40 | $760 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 10 | $20 | $230 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0012A | N/A | 30 | $20 | $480 |
| 0011A | N/A | 20 | $20 | $400 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 20 | $1 | $30 |
| 91301 | N/A | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 257 | 280 | 390 | $20 | $21.1K |
| 0012A | N/A | 126 | 200 | 40 | $30 | $1.7K |
| 0011A | N/A | 159 | 220 | 40 | $20 | $1.5K |
| 91301 | N/A | 162 | 200 | 50 | $0 | $0 |
Other providers in the same ZIP code as Walmart Inc., ranked by combined Medicare and Medicaid revenue.
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