WAL-MART STORES EAST LP
Community/Retail Pharmacy · NEVADA, MO
Organization Active NPI 1033136395
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 226 | 728 | $56,993 | $55,553 | $55,553 |
| 2023 | 300 | 1,252 | $58,144 | $55,934 | $55,934 |
| 2022 | 461 | 1,772 | $43,065 | $41,976 | $41,976 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 188 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 180 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 128 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 101 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 48 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 38 | $288 | $288 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 27 | $146 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2002009453 | MO |
| 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.