WAL-MART STORES EAST LP
Community/Retail Pharmacy · NAUGATUCK, CT
Organization Active NPI 1437176724
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 104 | 338 | $24,487 | $23,880 | $23,880 |
| 2023 | 185 | 778 | $31,163 | $30,218 | $30,218 |
| 2022 | 271 | 767 | $28,992 | $28,472 | $28,472 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 86 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 80 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 70 | $8 | $8 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 44 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 26 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 13 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PCY.0001640 | CT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.