WAL-MART STORES EAST LP
Community/Retail Pharmacy · MIDDLESBORO, KY
Organization Active NPI 1154344216
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 78 | 206 | $16,095 | $15,600 | $15,600 |
| 2023 | 99 | 444 | $17,136 | $16,596 | $16,596 |
| 2022 | 229 | 1,388 | $24,994 | $24,232 | $24,232 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 55 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 51 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 34 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 23 | $152 | $152 |
| G0009 | Administration of pneumococcal vaccine | 14 | $24 | $24 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $154 | $154 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | P06143 | KY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Kentucky
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.