WAL-MART STORES EAST LP
Community/Retail Pharmacy · OLD SAYBROOK, CT
Organization Active NPI 1427075712
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 265 | 882 | $63,266 | $61,450 | $61,450 |
| 2023 | 387 | 1,847 | $62,531 | $60,486 | $60,486 |
| 2022 | 642 | 3,056 | $64,395 | $63,232 | $63,232 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 217 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 209 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 207 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 110 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 94 | $155 | $155 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 17 | $28 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PCY.0001784 | CT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Connecticut
- NPI 1396153110
- NPI 1619800075
- NPI 1669491692
- NPI 1992189146
- NPI 1235640327
- NPI 1821143124
- NPI 1639001779
- NPI 1023475449
See all Community/Retail Pharmacy providers in Connecticut →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.