WAL-MART STORES EAST LP
Community/Retail Pharmacy · AUBURN, ME
Organization Active NPI 1912924283
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 245 | 910 | $73,544 | $71,246 | $71,246 |
| 2023 | 272 | 954 | $43,060 | $42,059 | $42,059 |
| 2022 | 654 | 2,260 | $57,574 | $55,088 | $55,088 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 201 | $12 | $12 |
| G0008 | Administration of influenza virus vaccine | 194 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 164 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 135 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 65 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 60 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 56 | $292 | $292 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 22 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH50001138 | ME |
| 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.