WAL-MART STORES EAST LP
Community/Retail Pharmacy · NEW MILFORD, CT
Organization Active NPI 1699792986
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 389 | 1,190 | $86,746 | $83,192 | $83,192 |
| 2023 | 480 | 1,821 | $80,992 | $78,775 | $78,775 |
| 2022 | 777 | 2,750 | $74,199 | $72,888 | $72,888 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 325 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 297 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 223 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 126 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 77 | $145 | $145 |
| G0009 | Administration of pneumococcal vaccine | 47 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 38 | $291 | $291 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 20 | $158 | $158 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 15 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PCY.0001819 | CT |
| 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.