WAL-MART STORES EAST LP
Community/Retail Pharmacy · BEAUFORT, SC
Organization Active NPI 1922025188
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 214 | 706 | $52,818 | $51,369 | $51,369 |
| 2023 | 315 | 1,163 | $60,195 | $58,246 | $58,246 |
| 2022 | 431 | 1,244 | $44,781 | $43,072 | $43,072 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 175 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 162 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 147 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 75 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 72 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 31 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2487 | SC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.