WAL-MART STORES EAST LP
Community/Retail Pharmacy · INDIAN LAND, SC
Organization Active NPI 1205147931
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 96 | 292 | $21,755 | $21,149 | $21,149 |
| 2023 | 222 | 762 | $41,075 | $39,841 | $39,841 |
| 2022 | 325 | 1,319 | $30,161 | $29,043 | $29,043 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 72 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 66 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 64 | $14 | $14 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 45 | $154 | $154 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 19 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 11086 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in South Carolina
- NPI 1982071296
- NPI 1790667632
- NPI 1790923845
- NPI 1225287451
- NPI 1588181226
- NPI 1609126523
- NPI 1609587344
- NPI 1528376720
See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.