WAL-MART STORES EAST LP
Community/Retail Pharmacy · WAYNESBORO, MS
Organization Active NPI 1548287048
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 132 | 390 | $27,990 | $27,391 | $27,391 |
| 2023 | 208 | 992 | $37,436 | $36,331 | $36,331 |
| 2022 | 544 | 3,879 | $59,800 | $58,108 | $58,108 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 117 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 110 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 58 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 54 | $152 | $152 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 20 | $16 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 01848 | MS |
| 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.