WAL-MART STORES EAST LP
Community/Retail Pharmacy · CHICOPEE, MA
Organization Active NPI 1649297953
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 186 | 616 | $45,395 | $44,246 | $44,246 |
| 2023 | 270 | 883 | $48,972 | $46,765 | $46,765 |
| 2022 | 418 | 1,576 | $56,071 | $55,033 | $55,033 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 160 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 145 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 124 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 68 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 56 | $150 | $150 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 24 | $24 | $24 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 15 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CS3351 | MA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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See all Community/Retail Pharmacy providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.