WAL-MART STORES EAST LP
Community/Retail Pharmacy · NEWBURGH, IN
Organization Active NPI 1437386356
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 217 | 684 | $47,711 | $46,563 | $46,563 |
| 2023 | 256 | 933 | $49,359 | $47,483 | $47,483 |
| 2022 | 334 | 943 | $27,507 | $26,234 | $26,234 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 178 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 175 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 152 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 91 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 61 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $26 | $26 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60006201A | IN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.