WAL-MART STORES EAST LP
Pharmacy · BERLIN, MD
Organization Active NPI 1831116110
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 532 | 1,766 | $125,366 | $122,831 | $122,831 |
| 2023 | 694 | 2,894 | $123,604 | $119,929 | $119,929 |
| 2022 | 1,228 | 5,433 | $155,726 | $152,841 | $152,841 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 472 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 448 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 360 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 320 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 51 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 51 | $290 | $290 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 40 | $149 | $149 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 15 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | P02355 | MD |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.