WAL-MART STORES EAST LP
Community/Retail Pharmacy · LADSON, SC
Organization Active NPI 1316326887
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 56 | 196 | $14,109 | $13,609 | $13,609 |
| 2023 | 85 | 365 | $16,890 | $16,313 | $16,313 |
| 2022 | 159 | 625 | $13,394 | $12,901 | $12,901 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 49 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 48 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 44 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 40 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 16090 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in South Carolina
- NPI 1508512435
- NPI 1134286214
- NPI 1528376720
- NPI 1649641382
- NPI 1992176648
- NPI 1942981055
- NPI 1659346542
- NPI 1912304197
See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.