WAL-MART STORES EAST LP
Community/Retail Pharmacy · MOUNT VERNON, MO
Organization Active NPI 1942618517
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 96 | 310 | $24,742 | $23,546 | $23,546 |
| 2023 | 164 | 658 | $34,841 | $33,432 | $33,432 |
| 2022 | 223 | 1,252 | $23,687 | $23,127 | $23,127 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 81 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 77 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 56 | $15 | $15 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 35 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 18 | $18 | $18 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 13 | $149 | $149 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2014034399 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Missouri
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.