WAL-MART STORES EAST LP
Community/Retail Pharmacy · VAN WERT, OH
Organization Active NPI 1801813084
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 299 | 880 | $62,799 | $61,365 | $61,365 |
| 2023 | 233 | 797 | $43,426 | $41,334 | $41,334 |
| 2022 | 348 | 1,117 | $31,905 | $30,769 | $30,769 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 224 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 213 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 194 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 112 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 82 | $158 | $158 |
| G0009 | Administration of pneumococcal vaccine | 22 | $23 | $23 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 020593150 | OH |
| 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.