WAL-MART STORES EAST LP
Community/Retail Pharmacy · BARBOURVILLE, KY
Organization Active NPI 1710904131
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 44 | 136 | $11,244 | $10,896 | $10,896 |
| 2023 | 61 | 304 | $10,442 | $10,010 | $10,010 |
| 2022 | 168 | 833 | $18,744 | $18,110 | $18,110 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 32 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 28 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 24 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 23 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 12 | $24 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PO2097 | KY |
| 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.