WAL-MART STORES EAST LP
Community/Retail Pharmacy · COVENTRY, RI
Organization Active NPI 1548287790
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 206 | 620 | $43,179 | $42,047 | $42,047 |
| 2023 | 369 | 1,878 | $57,691 | $56,316 | $56,316 |
| 2022 | 615 | 2,634 | $58,061 | $57,020 | $57,020 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 163 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 150 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 137 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 71 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 66 | $155 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHA00372 | RI |
| 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.