WAL-MART STORES EAST LP
Pharmacy · STILLWATER, OK
Organization Active NPI 1144778465
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 226 | 816 | $62,074 | $60,396 | $60,396 |
| 2023 | 275 | 988 | $60,780 | $58,858 | $58,858 |
| 2022 | 266 | 878 | $27,727 | $26,590 | $26,590 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 189 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 183 | $10 | $10 |
| 90662 | Influenza vaccine split virus, preservative free | 182 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 105 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 76 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 36 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $290 | $290 |
| 90684 | Pcv21 vaccine im | 11 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 87701 | OK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.