WAL-MART STORES EAST LP
Community/Retail Pharmacy · BOONTON, NJ
Organization Active NPI 1790702835
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 378 | 1,216 | $88,656 | $86,875 | $86,875 |
| 2023 | 568 | 2,414 | $82,088 | $79,874 | $79,874 |
| 2022 | 1,081 | 4,076 | $97,924 | $96,165 | $96,165 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 322 | $9 | $9 |
| G0008 | Administration of influenza virus vaccine | 253 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 241 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 172 | $152 | $152 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 150 | $149 | $149 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 33 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 33 | $16 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 28RS00638400 | NJ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in New Jersey
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.