WAL-MART STORES EAST LP
Community/Retail Pharmacy · CAMDEN, DE
Organization Active NPI 1518984814
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 324 | 1,070 | $80,578 | $78,316 | $78,316 |
| 2023 | 389 | 1,334 | $68,336 | $66,620 | $66,620 |
| 2022 | 558 | 2,399 | $62,174 | $61,085 | $61,085 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 252 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 237 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 224 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 142 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 95 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 46 | $25 | $25 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 45 | $292 | $292 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 14 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 11 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | A30000711 | DE |
| 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.