WAL-MART STORES EAST LP
Community/Retail Pharmacy · GLADSTONE, MO
Organization Active NPI 1639197114
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 192 | 662 | $47,050 | $45,952 | $45,952 |
| 2023 | 298 | 1,063 | $53,461 | $51,844 | $51,844 |
| 2022 | 490 | 1,664 | $52,894 | $51,485 | $51,485 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 161 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 158 | $10 | $10 |
| 90662 | Influenza vaccine split virus, preservative free | 153 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 120 | $158 | $158 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 38 | $143 | $143 |
| G0009 | Administration of pneumococcal vaccine | 12 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2002008565 | MO |
| 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.