WAL-MART STORES TEXAS LLC
Community/Retail Pharmacy · ATHENS, TX
Organization Active NPI 1922025154
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 203 | 554 | $38,588 | $37,768 | $37,768 |
| 2023 | 246 | 850 | $40,908 | $39,887 | $39,887 |
| 2022 | 400 | 1,186 | $43,214 | $42,005 | $42,005 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 160 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 149 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 99 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 60 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 39 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 18 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 21804 | TX |
| 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.