WAL-MART STORES EAST LP
Community/Retail Pharmacy · SOUTHINGTON, CT
Organization Active NPI 1255358545
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 120 | 364 | $24,900 | $24,365 | $24,365 |
| 2023 | 194 | 751 | $31,518 | $30,514 | $30,514 |
| 2022 | 343 | 1,182 | $35,043 | $34,394 | $34,394 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 112 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 100 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 59 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 31 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 28 | $153 | $153 |
| G0009 | Administration of pneumococcal vaccine | 11 | $20 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PCY.0001746 | CT |
| 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.