WAL-MART STORES EAST LP
Community/Retail Pharmacy · MILFORD, DE
Organization Active NPI 1316965833
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 311 | 968 | $69,761 | $67,881 | $67,881 |
| 2023 | 409 | 1,307 | $71,564 | $69,859 | $69,859 |
| 2022 | 761 | 3,194 | $79,470 | $78,055 | $78,055 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 247 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 238 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 211 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 109 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 101 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 26 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | A30000632 | DE |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Delaware
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.