WAL-MART STORES EAST LP
Community/Retail Pharmacy · SANFORD, ME
Organization Active NPI 1558388827
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 190 | 608 | $43,894 | $42,783 | $42,783 |
| 2023 | 306 | 1,031 | $50,024 | $48,643 | $48,643 |
| 2022 | 512 | 1,519 | $40,882 | $40,042 | $40,042 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 150 | $11 | $11 |
| G0008 | Administration of influenza virus vaccine | 143 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 130 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 76 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 74 | $151 | $151 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 13 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 11 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH50001369 | ME |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Maine
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.