WAL-MART STORES EAST LP
Community/Retail Pharmacy · FARMERVILLE, LA
Organization Active NPI 1982621256
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 163 | 490 | $33,916 | $33,057 | $33,057 |
| 2023 | 178 | 549 | $32,585 | $31,609 | $31,609 |
| 2022 | 377 | 1,349 | $40,173 | $38,792 | $38,792 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 150 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 131 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 75 | $13 | $13 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 42 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 33 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 20 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4890RC | LA |
| 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.