WAL-MART STORES EAST LP
Community/Retail Pharmacy · FITZGERALD, GA
Organization Active NPI 1851318265
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 57 | 182 | $13,563 | $13,157 | $13,157 |
| 2023 | 107 | 358 | $17,415 | $16,555 | $16,555 |
| 2022 | 191 | 827 | $18,560 | $18,032 | $18,032 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 53 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 50 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 27 | $13 | $13 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 24 | $152 | $152 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 11 | $23 | $23 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHRE006413 | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Georgia
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.