WAL-MART STORES EAST LP
Community/Retail Pharmacy · ARDMORE, OK
Organization Active NPI 1144247271
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 420 | 1,396 | $105,986 | $103,769 | $103,769 |
| 2023 | 454 | 1,331 | $85,762 | $83,662 | $83,662 |
| 2022 | 543 | 1,421 | $109,100 | $106,273 | $106,273 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 349 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 338 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 268 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 153 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 115 | $146 | $146 |
| G0009 | Administration of pneumococcal vaccine | 81 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 75 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 124192 | 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.