WAL-MART STORES EAST LP
Community/Retail Pharmacy · SILVER CITY, NM
Organization Active NPI 1982621033
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 404 | 1,476 | $113,710 | $110,379 | $110,379 |
| 2023 | 391 | 1,257 | $80,678 | $78,163 | $78,163 |
| 2022 | 603 | 1,670 | $60,512 | $58,422 | $58,422 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 381 | $13 | $13 |
| G0008 | Administration of influenza virus vaccine | 294 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 274 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 223 | $154 | $154 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 156 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 63 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 43 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 17 | $82 | $82 |
| 90732 | Pneumococcal vaccine, 23-valent | 12 | $131 | $131 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH00001446 | NM |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in New Mexico
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.