WAL-MART STORES EAST LP
Pharmacy · STARKVILLE, MS
Organization Active NPI 1982113049
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 273 | 834 | $58,157 | $56,936 | $56,936 |
| 2023 | 266 | 783 | $51,658 | $50,210 | $50,210 |
| 2022 | 306 | 1,118 | $33,313 | $31,859 | $31,859 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 240 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 231 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 153 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 110 | $154 | $154 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 43 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 24 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 16551 | MS |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.