WAL-MART STORES EAST LP
Community/Retail Pharmacy · SADDLE BROOK, NJ
Organization Active NPI 1861410557
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 106 | 292 | $20,557 | $20,136 | $20,136 |
| 2023 | 138 | 601 | $22,518 | $21,749 | $21,749 |
| 2022 | 281 | 1,504 | $30,427 | $29,923 | $29,923 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 92 | $20 | $20 |
| 90662 | Influenza vaccine split virus, preservative free | 65 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 29 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 27 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 25 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $290 | $290 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 23 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 28RS00613400 | NJ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in New Jersey
- NPI 1700396140
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- NPI 1679670509
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.