WAL-MART STORES EAST LP
Community/Retail Pharmacy · BROWN DEER, WI
Organization Active NPI 1669882445
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 68 | 244 | $16,791 | $16,388 | $16,388 |
| 2023 | 80 | 259 | $18,280 | $17,297 | $17,297 |
| 2022 | 128 | 438 | $13,622 | $13,172 | $13,172 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 61 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 57 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 51 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 42 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 15 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 9259-42 | WI |
| 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.