WAL-MART STORES EAST LP
Community/Retail Pharmacy · BLAIRSVILLE, PA
Organization Active NPI 1023035268
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 77 | 238 | $18,578 | $18,177 | $18,177 |
| 2023 | 123 | 739 | $18,775 | $18,244 | $18,244 |
| 2022 | 299 | 2,285 | $31,021 | $30,361 | $30,361 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 56 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 53 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 48 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 24 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 24 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 15 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PP481311 | PA |
| 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.