WAL-MART STORES EAST LP
Community/Retail Pharmacy · HARTFORD, WI
Organization Active NPI 1649456070
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 224 | 734 | $50,871 | $49,706 | $49,706 |
| 2023 | 305 | 1,117 | $56,920 | $54,540 | $54,540 |
| 2022 | 387 | 1,240 | $36,984 | $35,765 | $35,765 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 193 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 189 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 164 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 96 | $158 | $158 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 68 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8822-42 | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.