WAL-MART STORES EAST LP
Community/Retail Pharmacy · BROWNSBURG, IN
Organization Active NPI 1851318224
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 184 | 574 | $39,141 | $38,142 | $38,142 |
| 2023 | 241 | 1,017 | $42,911 | $41,197 | $41,197 |
| 2022 | 459 | 2,172 | $46,209 | $44,583 | $44,583 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 152 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 150 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 130 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 107 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 22 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005494 | IN |
| 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.