WAL-MART STORES EAST , LP
Community/Retail Pharmacy · YUKON, OK
Organization Active NPI 1952704751
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 209 | 660 | $47,547 | $46,276 | $46,276 |
| 2023 | 235 | 785 | $44,151 | $42,355 | $42,355 |
| 2022 | 378 | 1,159 | $37,913 | $36,238 | $36,238 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 176 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 166 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 135 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 75 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 59 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 19 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 26-6921 | OK |
| 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.