WAL-MART STORES EAST LP
Community/Retail Pharmacy · GILFORD, NH
Organization Active NPI 1619994738
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 446 | 1,554 | $114,068 | $111,238 | $111,238 |
| 2023 | 555 | 2,024 | $103,818 | $100,764 | $100,764 |
| 2022 | 992 | 3,556 | $100,565 | $98,746 | $98,746 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 386 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 358 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 344 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 242 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 102 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 47 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 33 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 20 | $82 | $82 |
| 90684 | Pcv21 vaccine im | 14 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0531P | NH |
| 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.