WAL-MART STORES EAST LP
Community/Retail Pharmacy · WESTERLY, RI
Organization Active NPI 1144247396
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 230 | 788 | $60,654 | $58,863 | $58,863 |
| 2023 | 266 | 783 | $49,295 | $48,225 | $48,225 |
| 2022 | 496 | 1,036 | $41,910 | $41,200 | $41,200 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 187 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 176 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 167 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 97 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 70 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 40 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 40 | $27 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHA00272 | RI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Rhode Island
- NPI 1114527181
- NPI 1225137698
- NPI 1013018613
- NPI 1205275278
- NPI 1396295705
- NPI 1922054923
- NPI 1003561655
- NPI 1568949683
See all Community/Retail Pharmacy providers in Rhode Island →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.