WAL-MART STORES EAST LP
Community/Retail Pharmacy · ROANOKE RAPIDS, NC
Organization Active NPI 1598782757
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 92 | 320 | $24,188 | $23,541 | $23,541 |
| 2023 | 150 | 663 | $30,117 | $28,836 | $28,836 |
| 2022 | 601 | 5,813 | $76,700 | $74,987 | $74,987 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 78 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 74 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 57 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 49 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 25 | $14 | $14 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8002 | NC |
| 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.