WAL-MART STORES EAST LP
Community/Retail Pharmacy · MEDFORD, WI
Organization Active NPI 1285810614
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 295 | 1,064 | $79,685 | $77,641 | $77,641 |
| 2023 | 340 | 1,176 | $70,755 | $69,070 | $69,070 |
| 2022 | 510 | 1,621 | $53,208 | $51,236 | $51,236 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 253 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 245 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 244 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 208 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 37 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 34 | $22 | $22 |
| 90684 | Pcv21 vaccine im | 17 | $321 | $321 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8823-42 | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.