WAL-MART STORES EAST LP
Community/Retail Pharmacy · DEMING, NM
Organization Active NPI 1356368419
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 180 | 642 | $49,605 | $48,380 | $48,380 |
| 2023 | 220 | 823 | $44,372 | $43,011 | $43,011 |
| 2022 | 351 | 1,339 | $36,291 | $34,992 | $34,992 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 148 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 145 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 140 | $11 | $11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 75 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 64 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 33 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $289 | $289 |
| 90684 | Pcv21 vaccine im | 15 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH00002555 | NM |
| 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.