WAL-MART STORES EAST , LP
Community/Retail Pharmacy · DIBERVILLE, MS
Organization Active NPI 1952710493
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 92 | 300 | $22,690 | $21,814 | $21,814 |
| 2023 | 163 | 683 | $29,676 | $28,605 | $28,605 |
| 2022 | 216 | 797 | $23,891 | $22,983 | $22,983 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 78 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 74 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 57 | $13 | $13 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 34 | $153 | $153 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 18 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 15 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 13428/ 1.2 | MS |
| 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.