WAL-MART STORES EAST LP
Community/Retail Pharmacy · WAVERLY, OH
Organization Active NPI 1104843309
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 89 | 262 | $19,161 | $18,636 | $18,636 |
| 2023 | 118 | 359 | $21,961 | $21,009 | $21,009 |
| 2022 | 185 | 821 | $22,787 | $22,185 | $22,185 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 71 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 69 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 50 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 29 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 21 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 021036400 | OH |
| 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.