WAL-MART STORES EAST LP
Community/Retail Pharmacy · MARION, SC
Organization Active NPI 1003833260
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 251 | 754 | $57,421 | $55,934 | $55,934 |
| 2023 | 361 | 1,213 | $60,161 | $58,688 | $58,688 |
| 2022 | 671 | 3,604 | $73,445 | $71,250 | $71,250 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 192 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 182 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 143 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 79 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 64 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 42 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 39 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2729 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.