WAL-MART STORES EAST LP
Community/Retail Pharmacy · GREENWOOD, MS
Organization Active NPI 1467470997
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 173 | 546 | $42,835 | $41,930 | $41,930 |
| 2023 | 197 | 680 | $42,771 | $41,224 | $41,224 |
| 2022 | 547 | 3,163 | $55,973 | $53,866 | $53,866 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 122 | $10 | $10 |
| G0008 | Administration of influenza virus vaccine | 120 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 112 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 74 | $158 | $158 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 48 | $145 | $145 |
| G0009 | Administration of pneumococcal vaccine | 31 | $16 | $16 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 02170 | MS |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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See all Community/Retail Pharmacy providers in Mississippi →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.