WAL-MART STORES EAST LP
Community/Retail Pharmacy · TARPON SPRINGS, FL
Organization Active NPI 1669733127
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 101 | 310 | $23,501 | $22,903 | $22,903 |
| 2023 | 186 | 1,134 | $25,512 | $24,695 | $24,695 |
| 2022 | 462 | 3,747 | $48,706 | $47,698 | $47,698 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 83 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 79 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 54 | $7 | $7 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 28 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 26 | $158 | $158 |
| G0009 | Administration of pneumococcal vaccine | 18 | $20 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH26296 | FL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.