WAL-MART STORES EAST LP
Community/Retail Pharmacy · MONCKS CORNER, SC
Organization Active NPI 1346267598
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 227 | 748 | $54,545 | $53,114 | $53,114 |
| 2023 | 442 | 1,330 | $71,546 | $69,503 | $69,503 |
| 2022 | 651 | 1,842 | $64,930 | $62,493 | $62,493 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 183 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 176 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 167 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 85 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 82 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 24 | $24 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2372 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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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.