WAL-MART STORES EAST LP
Community/Retail Pharmacy · NORTH KINGSTOWN, RI
Organization Active NPI 1366469512
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 217 | 718 | $50,933 | $49,754 | $49,754 |
| 2023 | 321 | 1,617 | $45,773 | $44,465 | $44,465 |
| 2022 | 558 | 2,422 | $48,456 | $47,628 | $47,628 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 173 | $10 | $10 |
| G0008 | Administration of influenza virus vaccine | 172 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 167 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 90 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 83 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 14 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHA00274 | RI |
| 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.