WAL-MART STORES EAST LP
Community/Retail Pharmacy · WARR ACRES, OK
Organization Active NPI 1104845114
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 135 | 450 | $34,108 | $33,096 | $33,096 |
| 2023 | 201 | 1,069 | $36,192 | $34,683 | $34,683 |
| 2022 | 412 | 2,440 | $43,409 | $42,024 | $42,024 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 106 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 101 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 100 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 54 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 45 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 19 | $23 | $23 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1-6379 | OK |
| 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.