WAL-MART STORES EAST LP
Community/Retail Pharmacy · NEW CASTLE, DE
Organization Active NPI 1790702090
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 138 | 460 | $33,086 | $32,218 | $32,218 |
| 2023 | 178 | 702 | $33,524 | $32,443 | $32,443 |
| 2022 | 268 | 1,229 | $27,835 | $27,327 | $27,327 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 116 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 105 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 100 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 80 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 20 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 14 | $23 | $23 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | A30000669 | DE |
| 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.