WAL-MART STORES EAST LP
Pharmacy · DUNDALK, MD
Organization Active NPI 1730107251
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 398 | 1,442 | $114,018 | $110,644 | $110,644 |
| 2023 | 571 | 3,119 | $119,369 | $116,672 | $116,672 |
| 2022 | 902 | 6,422 | $132,965 | $130,734 | $130,734 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 323 | $14 | $14 |
| G0008 | Administration of influenza virus vaccine | 313 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 277 | $80 | $80 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 208 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 113 | $152 | $152 |
| G0009 | Administration of pneumococcal vaccine | 85 | $23 | $23 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 81 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 32 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | P02356 | MD |
| 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.