WAL-MART STORES EAST LP
Community/Retail Pharmacy · FRANKLIN, WI
Organization Active NPI 1366469413
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 122 | 404 | $27,682 | $27,034 | $27,034 |
| 2023 | 279 | 1,690 | $51,377 | $49,863 | $49,863 |
| 2022 | 507 | 3,593 | $53,215 | $51,762 | $51,762 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 110 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 105 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 85 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 62 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 23 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8174-42 | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
Other Community/Retail Pharmacy providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.