WAL-MART STORES EAST LP
Community/Retail Pharmacy · TAOS, NM
Organization Active NPI 1528085677
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 304 | 996 | $77,787 | $75,552 | $75,552 |
| 2023 | 414 | 1,370 | $75,876 | $73,815 | $73,815 |
| 2022 | 613 | 1,191 | $44,198 | $42,189 | $42,189 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 255 | $15 | $15 |
| G0008 | Administration of influenza virus vaccine | 200 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 186 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 128 | $153 | $153 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 127 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 43 | $24 | $24 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 40 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH00001264 | NM |
| 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.