WAL-MART STORES EAST LP
Community/Retail Pharmacy · HURRICANE, WV
Organization Active NPI 1487838132
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 209 | 662 | $45,903 | $44,764 | $44,764 |
| 2023 | 281 | 1,191 | $47,343 | $45,446 | $45,446 |
| 2022 | 382 | 1,742 | $42,347 | $40,868 | $40,868 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 189 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 171 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 127 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 78 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 49 | $152 | $152 |
| G0009 | Administration of pneumococcal vaccine | 15 | $25 | $25 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 13 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | MP0552360 | WV |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in West Virginia
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See all Community/Retail Pharmacy providers in West Virginia →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.