WAL-MART STORES EAST LP
Community/Retail Pharmacy · FAIRHOPE, AL
Organization Active NPI 1346441888
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 295 | 960 | $75,943 | $73,260 | $73,260 |
| 2023 | 353 | 1,244 | $60,669 | $58,539 | $58,539 |
| 2022 | 553 | 1,663 | $55,753 | $53,802 | $53,802 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 257 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 241 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 149 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 75 | $145 | $145 |
| G0009 | Administration of pneumococcal vaccine | 74 | $21 | $21 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 67 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 63 | $292 | $292 |
| 90684 | Pcv21 vaccine im | 11 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 112960 | AL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.