WAL-MART STORES EAST LP
Community/Retail Pharmacy · LEHIGH ACRES, FL
Organization Active NPI 1689691073
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 56 | 174 | $13,290 | $12,916 | $12,916 |
| 2023 | 120 | 611 | $17,862 | $17,483 | $17,483 |
| 2022 | 420 | 3,052 | $43,593 | $42,763 | $42,763 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 45 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 42 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 32 | $15 | $15 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 21 | $153 | $153 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 11 | $148 | $148 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH15391 | FL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.