WAL-MART STORES EAST LP
Community/Retail Pharmacy · RUTLAND, VT
Organization Active NPI 1427075621
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 516 | 1,820 | $133,318 | $130,194 | $130,194 |
| 2023 | 440 | 1,416 | $82,647 | $80,430 | $80,430 |
| 2022 | 630 | 2,420 | $85,175 | $83,429 | $83,429 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 427 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 424 | $10 | $10 |
| 90662 | Influenza vaccine split virus, preservative free | 389 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 253 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 170 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 59 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 50 | $289 | $289 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 22 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 16 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 380003279 | VT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Vermont
- NPI 1346285921
- NPI 1689473399
- NPI 1922048768
- NPI 1104934587
- NPI 1972045839
- NPI 1730293507
- NPI 1497768741
- NPI 1730583931
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.