WAL-MART STORES EAST LP
Community/Retail Pharmacy · WATERVILLE, ME
Organization Active NPI 1285651554
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 160 | 540 | $39,412 | $38,236 | $38,236 |
| 2023 | 219 | 931 | $37,437 | $36,463 | $36,463 |
| 2022 | 468 | 1,562 | $40,990 | $39,136 | $39,136 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 141 | $15 | $15 |
| G0008 | Administration of influenza virus vaccine | 121 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 113 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 76 | $153 | $153 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 65 | $147 | $147 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH50001217 | ME |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Maine
- NPI 1205997020
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.