WAL-MART STORES EAST LP
Community/Retail Pharmacy · CUSHING, OK
Organization Active NPI 1780601815
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 219 | 710 | $53,192 | $51,472 | $51,472 |
| 2023 | 248 | 832 | $52,161 | $50,323 | $50,323 |
| 2022 | 344 | 1,289 | $66,987 | $64,945 | $64,945 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 185 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 173 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 137 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 74 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 60 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 33 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 33 | $23 | $23 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 85297 | OK |
| 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.