WAL-MART STORES EAST LP
Community/Retail Pharmacy · CONWAY, SC
Organization Active NPI 1396988291
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 380 | 1,162 | $85,148 | $82,974 | $82,974 |
| 2023 | 437 | 1,444 | $85,032 | $81,962 | $81,962 |
| 2022 | 645 | 2,211 | $83,994 | $81,267 | $81,267 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 331 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 322 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 193 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 110 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 83 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 57 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 48 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 10410 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.