WAL-MART STORES EAST LP
Community/Retail Pharmacy · BIDDEFORD, ME
Organization Active NPI 1639196900
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 830 | $59,198 | $57,753 | $57,753 |
| 2023 | 291 | 1,252 | $45,175 | $43,785 | $43,785 |
| 2022 | 596 | 2,393 | $50,787 | $49,720 | $49,720 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 210 | $12 | $12 |
| G0008 | Administration of influenza virus vaccine | 193 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 180 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 105 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 105 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 12 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH50001134 | ME |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Maine
- NPI 1609958073
- NPI 1194833582
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- NPI 1346107885
- NPI 1821034760
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.