WAL-MART STORES EAST LP
Community/Retail Pharmacy · HARDEEVILLE, SC
Organization Active NPI 1720006554
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 520 | 1,560 | $110,154 | $107,450 | $107,450 |
| 2023 | 744 | 2,974 | $126,549 | $122,613 | $122,613 |
| 2022 | 1,203 | 4,460 | $123,338 | $118,678 | $118,678 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 439 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 429 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 294 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 165 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 129 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 47 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 44 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5115 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.