WAL-MART STORES EAST LP
Community/Retail Pharmacy · ELIZABETHTOWN, NC
Organization Active NPI 1144248949
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 101 | 288 | $21,138 | $20,443 | $20,443 |
| 2023 | 213 | 1,003 | $30,930 | $30,005 | $30,005 |
| 2022 | 329 | 1,699 | $32,662 | $31,823 | $31,823 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 82 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 72 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 49 | $11 | $11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 29 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 17 | $146 | $146 |
| G0009 | Administration of pneumococcal vaccine | 13 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 7957 | NC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in North Carolina
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See all Community/Retail Pharmacy providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.