WAL-MART STORES EAST LP
Community/Retail Pharmacy · BASTROP, LA
Organization Active NPI 1518984871
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 109 | 298 | $22,486 | $21,907 | $21,907 |
| 2023 | 114 | 340 | $18,737 | $18,173 | $18,173 |
| 2022 | 271 | 965 | $21,920 | $21,163 | $21,163 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 82 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 76 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 50 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 22 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 17 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4790RC | LA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Louisiana
- NPI 1205940285
- NPI 1306919873
- NPI 1457735458
- NPI 1710099668
- NPI 1073402665
- NPI 1609495324
- NPI 1790533370
- NPI 1184472045
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.