WAL-MART STORES EAST LP
Pharmacy · MERIDIAN, MS
Organization Active NPI 1700323599
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 156 | 448 | $33,415 | $32,507 | $32,507 |
| 2023 | 156 | 432 | $25,719 | $24,751 | $24,751 |
| 2022 | 206 | 514 | $19,127 | $18,144 | $18,144 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 133 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 127 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 65 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 37 | $153 | $153 |
| G0009 | Administration of pneumococcal vaccine | 26 | $16 | $16 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 25 | $153 | $153 |
| 90684 | Pcv21 vaccine im | 13 | $321 | $321 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.