WAL-MART STORES EAST LP
Community/Retail Pharmacy · BREWER, ME
Organization Active NPI 1275550543
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 349 | 1,238 | $93,735 | $91,231 | $91,231 |
| 2023 | 438 | 1,611 | $79,158 | $77,138 | $77,138 |
| 2022 | 638 | 1,996 | $58,374 | $55,760 | $55,760 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 289 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 281 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 273 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 165 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 114 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 49 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 32 | $290 | $290 |
| 90684 | Pcv21 vaccine im | 17 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH50001172 | ME |
| 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.