WAL-MART STORES EAST LP
Community/Retail Pharmacy · ANDALUSIA, AL
Organization Active NPI 1902823297
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 188 | 542 | $40,085 | $39,195 | $39,195 |
| 2023 | 222 | 769 | $41,737 | $40,348 | $40,348 |
| 2022 | 459 | 1,471 | $66,064 | $64,003 | $64,003 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 166 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 160 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 67 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $158 | $158 |
| G0009 | Administration of pneumococcal vaccine | 38 | $16 | $16 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 28 | $147 | $147 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $292 | $292 |
| 90684 | Pcv21 vaccine im | 13 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 109967 | AL |
| 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.