WAL-MART STORES EAST LP
Community/Retail Pharmacy · LITTLE EGG HARBOR TWP, NJ
Organization Active NPI 1487001038
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 421 | 1,280 | $87,240 | $85,326 | $85,326 |
| 2023 | 545 | 2,113 | $83,343 | $81,044 | $81,044 |
| 2022 | 1,030 | 4,021 | $100,578 | $98,815 | $98,815 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 375 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 347 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 232 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 149 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 81 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 33 | $16 | $16 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 29 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 28RS00749700 | NJ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in New Jersey
- NPI 1831146398
- NPI 1902915366
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- NPI 1407498330
- NPI 1508801713
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.