WAL-MART STORES EAST LP
Community/Retail Pharmacy · HOOKSETT, NH
Organization Active NPI 1194952002
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 287 | 952 | $65,539 | $63,867 | $63,867 |
| 2023 | 339 | 1,244 | $59,247 | $57,229 | $57,229 |
| 2022 | 455 | 1,852 | $48,913 | $48,044 | $48,044 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 246 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 225 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 220 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 111 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 109 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0758 P | NH |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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See all Community/Retail Pharmacy providers in New Hampshire →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.