WAL-MART STORES EAST LP
Community/Retail Pharmacy · SAINT ALBANS, VT
Organization Active NPI 1922431998
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 414 | 1,484 | $114,021 | $111,005 | $111,005 |
| 2023 | 254 | 834 | $41,887 | $40,336 | $40,336 |
| 2022 | 689 | 2,293 | $74,404 | $72,784 | $72,784 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 337 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 328 | $9 | $9 |
| 90662 | Influenza vaccine split virus, preservative free | 320 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 253 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 77 | $23 | $23 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 75 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 70 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 038.0097171 | VT |
| 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.