WAL-MART STORES EAST LP
Community/Retail Pharmacy · EATON, OH
Organization Active NPI 1861419962
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 173 | 566 | $38,800 | $37,803 | $37,803 |
| 2023 | 238 | 918 | $43,082 | $41,510 | $41,510 |
| 2022 | 429 | 2,178 | $50,820 | $49,331 | $49,331 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 159 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 152 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 115 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 64 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 51 | $148 | $148 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 021511800 | OH |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Ohio
- NPI 1205944667
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- NPI 1588223838
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.