WAL-MART STORES EAST LP

Pharmacy · LAS CRUCES, NM

Organization Active NPI 1144678343

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20245461,999$154,469$150,385$150,385
20236452,563$124,035$119,033$119,033
20221,0053,365$101,856$97,928$97,928

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose479$13$13
G0008Administration of influenza virus vaccine434$21$21
90662Influenza vaccine split virus, preservative free422$81$81
91322Sarscov2 vac 50 mcg/0.5ml im261$154$154
91320Sarscv2 vac 30mcg trs-suc im218$149$149
G0009Administration of pneumococcal vaccine87$20$20
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use64$291$291
90684Pcv21 vaccine im22$321$321

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000XPH00004279NM
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.