WAL-MART STORES EAST LP
Community/Retail Pharmacy · SOCORRO, NM
Organization Active NPI 1174540231
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 213 | 718 | $54,159 | $52,463 | $52,463 |
| 2023 | 343 | 1,256 | $58,396 | $56,015 | $56,015 |
| 2022 | 428 | 1,314 | $41,130 | $39,395 | $39,395 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 191 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 165 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 152 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 145 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 25 | $150 | $150 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 16 | $27 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH00002695 | NM |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.