WAL-MART STORES EAST LP
Pharmacy · ELLICOTT CITY, MD
Organization Active NPI 1013934397
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 288 | 930 | $75,312 | $72,295 | $72,295 |
| 2023 | 371 | 1,588 | $66,716 | $65,161 | $65,161 |
| 2022 | 508 | 2,745 | $57,681 | $56,625 | $56,625 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 222 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 214 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 179 | $15 | $15 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 154 | $149 | $149 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 64 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 64 | $27 | $27 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 13 | $143 | $143 |
| 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 | 12 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | P02055 | MD |
| 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.