WAL-MART STORES EAST LP
Community/Retail Pharmacy · COLUMBUS, IN
Organization Active NPI 1578576203
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 192 | 620 | $44,015 | $42,789 | $42,789 |
| 2023 | 298 | 1,247 | $50,743 | $49,154 | $49,154 |
| 2022 | 485 | 2,729 | $63,139 | $60,887 | $60,887 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 158 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 149 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 141 | $11 | $11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 92 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 47 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 11 | $25 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60006016A | IN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.