WAL-MART STORES EAST , LP
Community/Retail Pharmacy · NORTH ADAMS, MA
Organization Active NPI 1821015116
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 470 | 1,612 | $118,631 | $115,703 | $115,703 |
| 2023 | 492 | 1,961 | $88,752 | $86,803 | $86,803 |
| 2022 | 780 | 2,358 | $74,537 | $73,200 | $73,200 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 378 | $10 | $10 |
| G0008 | Administration of influenza virus vaccine | 371 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 330 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 224 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 154 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 57 | $24 | $24 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 47 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 21 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 19 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | DS89866 | MA |
| 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.