WAL-MART STORES EAST LP
Pharmacy · VALDOSTA, GA
Organization Active NPI 1760938013
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 98 | 324 | $24,549 | $23,906 | $23,906 |
| 2023 | 122 | 439 | $27,287 | $26,292 | $26,292 |
| 2022 | 122 | 479 | $11,091 | $10,660 | $10,660 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 87 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 79 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 56 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 51 | $152 | $152 |
| G0009 | Administration of pneumococcal vaccine | 19 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PHRE010319 | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other 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.