WAL-MART STORES EAST LP
Community/Retail Pharmacy · BOONEVILLE, MS
Organization Active NPI 1255358669
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 466 | 1,334 | $90,212 | $88,370 | $88,370 |
| 2023 | 484 | 1,515 | $73,566 | $71,341 | $71,341 |
| 2022 | 972 | 4,632 | $118,700 | $114,556 | $114,556 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 427 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 370 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 198 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 114 | $154 | $154 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 84 | $147 | $147 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 46 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 42 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 37 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 02267 | MS |
| 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.