WAL-MART STORES EAST LP
Community/Retail Pharmacy · ANGOLA, IN
Organization Active NPI 1851318075
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 232 | 788 | $57,064 | $55,618 | $55,618 |
| 2023 | 353 | 1,344 | $66,461 | $64,944 | $64,944 |
| 2022 | 547 | 2,675 | $77,259 | $74,845 | $74,845 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 196 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 179 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 171 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 101 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 70 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 26 | $22 | $22 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005049A | IN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Indiana
- NPI 1093361867
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.