WAL-MART STORES EAST LP
Community/Retail Pharmacy · WILLISTON, VT
Organization Active NPI 1518984715
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 429 | 1,548 | $120,886 | $117,459 | $117,459 |
| 2023 | 468 | 1,526 | $90,128 | $86,092 | $86,092 |
| 2022 | 777 | 2,199 | $85,219 | $83,382 | $83,382 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 370 | $11 | $11 |
| G0008 | Administration of influenza virus vaccine | 327 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 311 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 226 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 140 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 77 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 66 | $292 | $292 |
| 90684 | Pcv21 vaccine im | 11 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 380003277 | VT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.