WAL-MART STORES TEXAS LLC
Community/Retail Pharmacy · WHARTON, TX
Organization Active NPI 1831116995
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 152 | 468 | $35,051 | $34,067 | $34,067 |
| 2023 | 280 | 1,473 | $46,776 | $45,501 | $45,501 |
| 2022 | 523 | 2,765 | $64,510 | $63,060 | $63,060 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 136 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 129 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 72 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 36 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 33 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 26 | $16 | $16 |
| 90684 | Pcv21 vaccine im | 14 | $321 | $321 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 22965 | TX |
| 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.