WAL-MART STORES EAST LP
Community/Retail Pharmacy · GREENFIELD, IN
Organization Active NPI 1124045430
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 122 | 362 | $24,412 | $23,784 | $23,784 |
| 2023 | 141 | 519 | $23,121 | $22,001 | $22,001 |
| 2022 | 227 | 990 | $22,996 | $22,248 | $22,248 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 101 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 93 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 75 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 48 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 27 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005036 | IN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Indiana
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.