WAL-MART STORES TEXAS LLC
Community/Retail Pharmacy · HURST, TX
Organization Active NPI 1710357942
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 86 | 310 | $23,778 | $23,016 | $23,016 |
| 2023 | 210 | 1,026 | $38,841 | $38,051 | $38,051 |
| 2022 | 157 | 738 | $20,973 | $20,464 | $20,464 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 81 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 76 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 59 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 48 | $153 | $153 |
| G0009 | Administration of pneumococcal vaccine | 15 | $22 | $22 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 11 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 30374 | TX |
| 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.