WAL-MART STORES EAST LP
Community/Retail Pharmacy · WEST LEBANON, NH
Organization Active NPI 1346267465
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 446 | 1,588 | $119,974 | $116,234 | $116,234 |
| 2023 | 516 | 1,900 | $97,422 | $93,803 | $93,803 |
| 2022 | 650 | 2,464 | $72,691 | $71,309 | $71,309 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 425 | $11 | $11 |
| G0008 | Administration of influenza virus vaccine | 324 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 295 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 294 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 124 | $144 | $144 |
| G0009 | Administration of pneumococcal vaccine | 45 | $24 | $24 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 37 | $292 | $292 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 27 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0549P | NH |
| 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.