WAL-MART STORES EAST LP
Community/Retail Pharmacy · AURORA, MO
Organization Active NPI 1316964679
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 189 | 578 | $41,347 | $40,257 | $40,257 |
| 2023 | 272 | 872 | $44,174 | $43,026 | $43,026 |
| 2022 | 429 | 1,973 | $46,748 | $45,635 | $45,635 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 148 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 129 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 128 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 81 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 45 | $153 | $153 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 15 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 13 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $287 | $287 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2002009528 | MO |
| 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.