WAL-MART STORES EAST LP
Community/Retail Pharmacy · PRESQUE ISLE, ME
Organization Active NPI 1821015199
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 223 | 736 | $52,936 | $51,581 | $51,581 |
| 2023 | 260 | 1,114 | $53,378 | $51,300 | $51,300 |
| 2022 | 483 | 1,639 | $44,722 | $42,977 | $42,977 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 176 | $11 | $11 |
| G0008 | Administration of influenza virus vaccine | 175 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 156 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 114 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 62 | $155 | $155 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 17 | $23 | $23 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 15 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH50001140 | ME |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Maine
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.