WAL-MART STORES EAST LP
Community/Retail Pharmacy · SEAFORD, DE
Organization Active NPI 1053338343
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 520 | 1,628 | $110,792 | $108,380 | $108,380 |
| 2023 | 612 | 2,243 | $110,211 | $107,041 | $107,041 |
| 2022 | 1,406 | 8,953 | $182,038 | $178,765 | $178,765 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 441 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 422 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 346 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 213 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 138 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 23 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | A30000633 | DE |
| 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.