WAL-MART STORES EAST LP

Community/Retail Pharmacy · MIDDLETOWN, DE

Organization Active NPI 1427205244

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243021,034$75,892$73,860$73,860
20233531,291$59,870$57,904$57,904
20226784,190$100,894$99,008$99,008

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine260$21$21
90662Influenza vaccine split virus, preservative free255$81$81
90480Admn sarscov2 vacc 1 dose217$12$12
91322Sarscov2 vac 50 mcg/0.5ml im132$155$155
91320Sarscv2 vac 30mcg trs-suc im85$150$150
G0009Administration of pneumococcal vaccine40$19$19
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use34$292$292

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003XA3-0000891DE
Durable Medical Equipment & Medical Supplies332B00000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.