WAL-MART STORES EAST LP
Community/Retail Pharmacy · BROUSSARD, LA
Organization Active NPI 1508883869
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 141 | 366 | $25,559 | $24,850 | $24,850 |
| 2023 | 235 | 1,269 | $38,234 | $37,286 | $37,286 |
| 2022 | 595 | 4,390 | $66,178 | $64,404 | $64,404 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 118 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 111 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 51 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 33 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 18 | $143 | $143 |
| G0009 | Administration of pneumococcal vaccine | 14 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 6044-RC | LA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Louisiana
- NPI 1245279629
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- NPI 1811080807
- NPI 1629211826
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.