WAL-MART STORES EAST LP
Community/Retail Pharmacy · LYNN, MA
Organization Active NPI 1649297946
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 189 | 601 | $43,913 | $42,698 | $42,698 |
| 2023 | 245 | 1,004 | $46,459 | $45,068 | $45,068 |
| 2022 | 364 | 1,116 | $45,753 | $44,917 | $44,917 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 150 | $15 | $15 |
| G0008 | Administration of influenza virus vaccine | 137 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 127 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 80 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 70 | $153 | $153 |
| G0009 | Administration of pneumococcal vaccine | 13 | $25 | $25 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CS2752 | MA |
| 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.