WAL-MART STORES EAST LP
Community/Retail Pharmacy · COCKEYSVILLE, MD
Organization Active NPI 1922025204
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 1,090 | $82,366 | $79,821 | $79,821 |
| 2023 | 388 | 1,682 | $68,438 | $66,944 | $66,944 |
| 2022 | 652 | 3,707 | $74,285 | $72,909 | $72,909 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 256 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 240 | $10 | $10 |
| 90662 | Influenza vaccine split virus, preservative free | 239 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 166 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 67 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 49 | $24 | $24 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 47 | $289 | $289 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.