WAL-MART STORES EAST, LP
Community/Retail Pharmacy · ELDON, MO
Organization Active NPI 1538187026
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 118 | 382 | $25,941 | $25,361 | $25,361 |
| 2023 | 203 | 767 | $36,875 | $35,434 | $35,434 |
| 2022 | 360 | 1,748 | $35,704 | $34,843 | $34,843 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 102 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 95 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 85 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 62 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 23 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2002009306 | MO |
| 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.