WAL-MART STORES EAST LP
Community/Retail Pharmacy · TAYLORSVILLE, NC
Organization Active NPI 1245257484
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 79 | 240 | $18,245 | $17,793 | $17,793 |
| 2023 | 157 | 605 | $24,399 | $23,572 | $23,572 |
| 2022 | 237 | 1,068 | $20,906 | $20,339 | $20,339 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 64 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 61 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 41 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 27 | $158 | $158 |
| G0009 | Administration of pneumococcal vaccine | 15 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $291 | $291 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 14 | $149 | $149 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8018 | NC |
| 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.