WAL-MART STORES EAST LP
Community/Retail Pharmacy · CAMDENTON, MO
Organization Active NPI 1063439487
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 386 | 1,240 | $87,310 | $85,049 | $85,049 |
| 2023 | 520 | 1,974 | $102,232 | $99,426 | $99,426 |
| 2022 | 1,045 | 5,564 | $107,311 | $104,741 | $104,741 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 329 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 311 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 265 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 143 | $158 | $158 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 120 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 26 | $23 | $23 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2002009452 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Missouri
- NPI 1083886238
- NPI 1427099860
- NPI 1033486782
- NPI 1417756859
- NPI 1639905235
- NPI 1093604076
- NPI 1588754725
- NPI 1962116053
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.