WAL-MART STORES EAST LP
Community/Retail Pharmacy · SALEM, NH
Organization Active NPI 1134147895
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 205 | 708 | $52,211 | $50,873 | $50,873 |
| 2023 | 307 | 1,043 | $54,893 | $53,205 | $53,205 |
| 2022 | 484 | 1,671 | $51,975 | $51,066 | $51,066 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 168 | $11 | $11 |
| G0008 | Administration of influenza virus vaccine | 165 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 158 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 92 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 76 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 21 | $26 | $26 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0465P | NH |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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See all Community/Retail Pharmacy providers in New Hampshire →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.