WAL-MART STORES EAST LP
Community/Retail Pharmacy · FOREST, VA
Organization Active NPI 1669865986
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 283 | 818 | $55,886 | $54,736 | $54,736 |
| 2023 | 455 | 1,743 | $79,520 | $77,069 | $77,069 |
| 2022 | 637 | 2,521 | $63,724 | $62,410 | $62,410 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 228 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 222 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 168 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 114 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 54 | $146 | $146 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 13 | $20 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 201004648 | VA |
| 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.