WAL-MART STORES EAST LP
Pharmacy · BLUFFTON, SC
Organization Active NPI 1720536048
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 514 | 1,616 | $117,427 | $114,422 | $114,422 |
| 2023 | 724 | 2,580 | $124,731 | $121,534 | $121,534 |
| 2022 | 1,201 | 4,020 | $134,041 | $128,837 | $128,837 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 436 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 424 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 308 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 166 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 142 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 64 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 60 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 17014 | SC |
| 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.