WAL-MART STORES EAST LP
Community/Retail Pharmacy · MOUNT PLEASANT, WI
Organization Active NPI 1689015356
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 102 | 352 | $25,772 | $25,232 | $25,232 |
| 2023 | 201 | 1,069 | $34,182 | $33,085 | $33,085 |
| 2022 | 367 | 2,901 | $39,688 | $38,706 | $38,706 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 84 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 80 | $10 | $10 |
| 90662 | Influenza vaccine split virus, preservative free | 80 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 43 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 37 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 12 | $16 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 9212-42 | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Wisconsin
- NPI 1164522132
- NPI 1366535585
- NPI 1851939037
- NPI 1285912394
- NPI 1538186606
- NPI 1194092932
- NPI 1679835326
- NPI 1164170692
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.