WAL-MART STORES EAST LP
Pharmacy · NEW IBERIA, LA
Organization Active NPI 1487100061
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 119 | 328 | $24,321 | $23,631 | $23,631 |
| 2023 | 168 | 589 | $28,518 | $27,213 | $27,213 |
| 2022 | 358 | 1,242 | $30,386 | $29,318 | $29,318 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 85 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 84 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 67 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 46 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 21 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 12 | $24 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PHY.007374-RC | LA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Louisiana
- NPI 1356332522
- NPI 1083707426
- NPI 1780788612
- NPI 1841205002
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- NPI 1588679757
- NPI 1417047929
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.