WAL-MART STORES EAST LP
Community/Retail Pharmacy · DECATUR, IN
Organization Active NPI 1679590889
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 125 | 390 | $28,635 | $27,481 | $27,481 |
| 2023 | 137 | 445 | $23,987 | $23,019 | $23,019 |
| 2022 | 209 | 595 | $19,733 | $18,991 | $18,991 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 98 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 97 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 87 | $13 | $13 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 60 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 22 | $155 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60004072 | IN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Indiana
- NPI 1487365839
- NPI 1659576049
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- NPI 1356610299
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.