WAL-MART STORES EAST LP
Community/Retail Pharmacy · POTOSI, MO
Organization Active NPI 1235156589
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 63 | 198 | $14,511 | $14,173 | $14,173 |
| 2023 | 77 | 315 | $15,080 | $14,090 | $14,090 |
| 2022 | 189 | 830 | $18,209 | $17,819 | $17,819 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 53 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 47 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 37 | $8 | $8 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 29 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2002009471 | 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.