WAL-MART STORES EAST LP
Pharmacy · SUMTER, SC
Organization Active NPI 1477065704
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 227 | 775 | $60,024 | $58,145 | $58,145 |
| 2023 | 303 | 1,196 | $54,006 | $52,798 | $52,798 |
| 2022 | 444 | 1,600 | $44,908 | $43,165 | $43,165 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 184 | $12 | $12 |
| G0008 | Administration of influenza virus vaccine | 170 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 165 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 107 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 74 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 33 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $290 | $290 |
| 90684 | Pcv21 vaccine im | 15 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in South Carolina
- NPI 1033258330
- NPI 1073146502
- NPI 1306284575
- NPI 1811133119
- NPI 1013010875
- NPI 1306940119
- NPI 1003371386
- NPI 1114114501
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.