WAL-MART STORES EAST LP
Community/Retail Pharmacy · NEWPORT, RI
Organization Active NPI 1275550428
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 169 | 592 | $45,688 | $44,073 | $44,073 |
| 2023 | 339 | 2,428 | $56,845 | $55,449 | $55,449 |
| 2022 | 589 | 4,275 | $67,589 | $66,332 | $66,332 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 133 | $20 | $20 |
| 90480 | Admn sarscov2 vacc 1 dose | 131 | $9 | $9 |
| 90662 | Influenza vaccine split virus, preservative free | 122 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 109 | $146 | $146 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 32 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 32 | $26 | $26 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 18 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHA00278 | RI |
| 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.