WAL-MART STORES EAST LP
Community/Retail Pharmacy · ELKIN, NC
Organization Active NPI 1467470260
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 124 | 404 | $31,517 | $30,510 | $30,510 |
| 2023 | 203 | 864 | $33,398 | $32,515 | $32,515 |
| 2022 | 278 | 1,284 | $25,689 | $24,934 | $24,934 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 99 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 96 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 79 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 51 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 24 | $24 | $24 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 7958 | NC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in North Carolina
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See all Community/Retail Pharmacy providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.