WAL-MART STORES EAST LP
Community/Retail Pharmacy · RADCLIFF, KY
Organization Active NPI 1619994944
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 106 | 350 | $25,384 | $24,818 | $24,818 |
| 2023 | 108 | 303 | $20,868 | $19,814 | $19,814 |
| 2022 | 197 | 634 | $19,264 | $18,503 | $18,503 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 84 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 81 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 76 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 61 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 20 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | P06304 | KY |
| 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.