WAL-MART STORES TEXAS LLC
Community/Retail Pharmacy · KELLER, TX
Organization Active NPI 1740207877
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 111 | 356 | $26,243 | $25,536 | $25,536 |
| 2023 | 189 | 1,001 | $33,319 | $32,600 | $32,600 |
| 2022 | 330 | 1,780 | $44,100 | $43,078 | $43,078 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 96 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 94 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 68 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 29 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 14 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 21633 | 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.