WAL-MART STORES EAST LP
Community/Retail Pharmacy · GRENADA, MS
Organization Active NPI 1801813217
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 238 | 679 | $50,365 | $49,348 | $49,348 |
| 2023 | 299 | 997 | $47,579 | $46,080 | $46,080 |
| 2022 | 624 | 3,053 | $64,409 | $61,650 | $61,650 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 180 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 166 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 128 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 102 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 32 | $16 | $16 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 26 | $148 | $148 |
| 90684 | Pcv21 vaccine im | 20 | $321 | $321 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 02033 | MS |
| 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.