WAL-MART STORES EAST LP
Community/Retail Pharmacy · LILBURN, GA
Organization Active NPI 1104843424
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 49 | 152 | $11,738 | $11,456 | $11,456 |
| 2023 | 83 | 325 | $14,654 | $14,266 | $14,266 |
| 2022 | 120 | 466 | $13,096 | $12,569 | $12,569 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 37 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 36 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 30 | $8 | $8 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 21 | $149 | $149 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHRE007153 | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Georgia
- NPI 1043949829
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.