WAL-MART STORES EAST LP
Community/Retail Pharmacy · GREENFIELD, WI
Organization Active NPI 1376560425
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 193 | 640 | $44,854 | $43,749 | $43,749 |
| 2023 | 301 | 1,625 | $53,946 | $52,161 | $52,161 |
| 2022 | 489 | 2,718 | $50,584 | $49,050 | $49,050 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 159 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 151 | $10 | $10 |
| 90662 | Influenza vaccine split virus, preservative free | 147 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 87 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 64 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 9169-42 | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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.