WAL-MART STORES EAST LP
Community/Retail Pharmacy · GREENSBURG, IN
Organization Active NPI 1336167758
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 332 | 1,020 | $69,769 | $67,962 | $67,962 |
| 2023 | 407 | 1,541 | $62,512 | $60,382 | $60,382 |
| 2022 | 681 | 3,357 | $69,075 | $67,018 | $67,018 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 302 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 290 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 187 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 135 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 49 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 21 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005041 | IN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Indiana
- NPI 1265029292
- NPI 1316307184
- NPI 1801873625
- NPI 1982197463
- NPI 1508859414
- NPI 1609940816
- NPI 1669095261
- NPI 1487365839
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.