WAL-MART STORES EAST LP
Community/Retail Pharmacy · KENNETT, MO
Organization Active NPI 1225055585
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 183 | 546 | $41,373 | $40,546 | $40,546 |
| 2023 | 240 | 765 | $45,053 | $43,096 | $43,096 |
| 2022 | 308 | 1,160 | $27,535 | $26,909 | $26,909 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 132 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 126 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 116 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 86 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 30 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 25 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2002009762 | MO |
| 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.