WAL-MART STORES EAST LP
Community/Retail Pharmacy · BARBOURSVILLE, WV
Organization Active NPI 1811914955
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 164 | 454 | $30,411 | $29,591 | $29,591 |
| 2023 | 195 | 820 | $32,819 | $31,776 | $31,776 |
| 2022 | 397 | 1,877 | $41,664 | $40,270 | $40,270 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 138 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 128 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 83 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 53 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 29 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | MP0552311 | WV |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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See all Community/Retail Pharmacy providers in West Virginia →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.