WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLAREMONT, NH
Organization Active NPI 1265459382
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 582 | 1,968 | $144,160 | $140,410 | $140,410 |
| 2023 | 719 | 3,067 | $130,429 | $126,754 | $126,754 |
| 2022 | 871 | 2,450 | $98,884 | $97,089 | $97,089 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 478 | $12 | $12 |
| G0008 | Administration of influenza virus vaccine | 454 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 424 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 277 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 199 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 52 | $23 | $23 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 50 | $290 | $290 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 15 | $22 | $22 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0400P | NH |
| 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.