WAL-MART STORES EAST LP
Pharmacy · HENRICO, VA
Organization Active NPI 1518498534
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 113 | 360 | $27,748 | $26,854 | $26,854 |
| 2023 | 214 | 579 | $28,368 | $27,134 | $27,134 |
| 2022 | 392 | 993 | $25,076 | $24,599 | $24,599 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 82 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 82 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 80 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 43 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 36 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 16 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.