WAL-MART STORES EAST LP
Community/Retail Pharmacy · WAUCHULA, FL
Organization Active NPI 1689691990
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 116 | 366 | $25,783 | $25,123 | $25,123 |
| 2023 | 273 | 1,307 | $43,435 | $42,055 | $42,055 |
| 2022 | 515 | 2,318 | $56,869 | $55,448 | $55,448 |
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 | 89 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 77 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 69 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH15339 | 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.