WAL-MART STORES EAST LP
Community/Retail Pharmacy · KINGWOOD, WV
Organization Active NPI 1497954978
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 170 | 516 | $36,804 | $35,899 | $35,899 |
| 2023 | 264 | 1,111 | $46,944 | $45,621 | $45,621 |
| 2022 | 548 | 2,901 | $56,099 | $53,879 | $53,879 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 136 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 126 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 107 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 79 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 15 | $23 | $23 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | MP0552350 | WV |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.