WAL-MART STORES TEXAS LLC
Community/Retail Pharmacy · PORTER, TX
Organization Active NPI 1598783334
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 55 | 154 | $11,856 | $11,436 | $11,436 |
| 2023 | 155 | 863 | $25,091 | $24,483 | $24,483 |
| 2022 | 128 | 489 | $19,472 | $18,989 | $18,989 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 48 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 46 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 17 | $14 | $14 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 15 | $146 | $146 |
| G0009 | Administration of pneumococcal vaccine | 12 | $20 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 21880 | TX |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Texas
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.