WAL-MART STORES EAST LP
Community/Retail Pharmacy · THE VILLAGE, OK
Organization Active NPI 1689692378
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 155 | 514 | $38,601 | $37,630 | $37,630 |
| 2023 | 179 | 667 | $36,819 | $35,193 | $35,193 |
| 2022 | 304 | 1,126 | $34,269 | $32,820 | $32,820 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 126 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 123 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 109 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 56 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 53 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 22 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 14747 | OK |
| 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.