WAL-MART STORES EAST LP
Community/Retail Pharmacy · MAYS LANDING, NJ
Organization Active NPI 1972520096
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 409 | 1,172 | $88,178 | $86,386 | $86,386 |
| 2023 | 648 | 2,580 | $120,222 | $114,734 | $114,734 |
| 2022 | 1,091 | 4,687 | $104,744 | $102,967 | $102,967 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 338 | $9 | $9 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 219 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 215 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 196 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 119 | $155 | $155 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 33 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 33 | $17 | $17 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 28RS00498500 | NJ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.