WAL-MART STORES EAST LP
Community/Retail Pharmacy · CORDELE, GA
Organization Active NPI 1750308169
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 77 | 213 | $14,478 | $14,001 | $14,001 |
| 2023 | 88 | 350 | $13,987 | $13,509 | $13,509 |
| 2022 | 186 | 937 | $21,452 | $20,803 | $20,803 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 70 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 66 | $80 | $80 |
| 90480 | Admn sarscov2 vacc 1 dose | 31 | $22 | $22 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 18 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 13 | $147 | $147 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHRE006711 | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Georgia
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.