WAL-MART STORES EAST LP
Community/Retail Pharmacy · HARLAN, KY
Organization Active NPI 1063430536
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 121 | 354 | $29,047 | $28,236 | $28,236 |
| 2023 | 150 | 567 | $29,947 | $28,979 | $28,979 |
| 2022 | 224 | 1,011 | $42,725 | $41,650 | $41,650 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 95 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 85 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 49 | $14 | $14 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 38 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 33 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $291 | $291 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 11 | $146 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PO2354 | KY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Kentucky
- NPI 1275518953
- NPI 1386891554
- NPI 1679527675
- NPI 1598782070
- NPI 1457129694
- NPI 1093035354
- NPI 1326565755
- NPI 1770864852
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.