WAL-MART STORES EAST LP
Community/Retail Pharmacy · JANESVILLE, WI
Organization Active NPI 1821015975
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 375 | 1,406 | $106,872 | $104,042 | $104,042 |
| 2023 | 585 | 2,420 | $136,358 | $132,629 | $132,629 |
| 2022 | 656 | 2,230 | $67,251 | $64,801 | $64,801 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 326 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 320 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 309 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 172 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 146 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 57 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $290 | $290 |
| 90684 | Pcv21 vaccine im | 27 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8695-42 | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.