WAL-MART STORES EAST LP
Community/Retail Pharmacy · TORRINGTON, CT
Organization Active NPI 1891712188
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 282 | 924 | $68,853 | $67,069 | $67,069 |
| 2023 | 457 | 2,722 | $72,508 | $70,451 | $70,451 |
| 2022 | 685 | 2,484 | $69,593 | $68,339 | $68,339 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 240 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 212 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 179 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 95 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 82 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 43 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 27 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 19 | $82 | $82 |
| 90684 | Pcv21 vaccine im | 16 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PCY.0001588 | CT |
| 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.