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    OpenPayerNPI Medicare & MedicaidWal-mart Stores East LP
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    Wal-mart Stores East LP — Billing Profile & Reimbursement Data

    NPI 1962429076 · Somersworth, NH · Community/Retail Pharmacy

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    Wal-mart Stores East LP is a community/retail pharmacy provider located in Somersworth, New Hampshire. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWal-mart Stores East LP
    Address59 Waltons Way
    CitySomersworth
    StateNH
    ZIP03878
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedJuly 16, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$111.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.300$140$43.5K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…380$70$26.1K
    G0008Administration of influenza virus vaccine410$30$11.2K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.60$130$8.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$280$7.6K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count730$10$7.3K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.370$10$4K
    90682This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…20$70$1.3K
    0134AN/A20$40$700
    G0009Administration of pneumococcal vaccine30$20$520

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91320133200140$130$24.3K
    9132216140140$140$23.6K
    K103487190680$10$10.8K
    9048064270210$40$8.8K
    9067710732020$270$7.1K
    906621136040$70$5.4K
    G00084651070$30$4.1K
    0124A15718040$40$2K
    0134A548020$40$1.6K
    9068251020$70$1.2K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Wal-mart Stores East LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wal-mart Stores, Inc.PAOptician$0$5.7M
    John PassarelliNYOphthalmology Physician$360K$38.4K
    Wal-mart Stores East LPWICommunity/Retail Pharmacy$227.1K$6.6K
    Wal-mart Stores East , LPWICommunity/Retail Pharmacy$218.1K$3.5K
    Wal-mart Stores East LPNCCommunity/Retail Pharmacy$212.9K$1.6K
    Wal-mart Stores East, LPWICommunity/Retail Pharmacy$169.3K$570
    Wal-mart Stores East LPMACommunity/Retail Pharmacy$168.6K$0
    Jesse BlattsteinNYOccupational Vision Optometrist$168.5K$0
    Wal-mart Stores East LPSCCommunity/Retail Pharmacy$167.8K$0
    Wal-mart Stores East, LPGAEyewear Supplier$0$165.6K

    Nearby Providers

    Other providers in the same ZIP code as Wal-mart Stores East LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greater Seacoast Community HealthNHFederally Qualified Health Center (FQHC)$0$21.2M
    Strafford Nutrition & Meals On WheelsNHHome Health Agency$0$1.8M
    Sau 56NHLocal Education Agency (LEA)$0$728.1K
    Gregory AprillianoNHCertified Registered Nurse Anesthetist$0$478K
    Wentworth Surgery Center, LLCNHAmbulatory Surgical Clinic/Center$406.2K$0
    Roger EpsteinNHGastroenterology Physician$347.8K$0
    Sean LynchNHGastroenterology Physician$320.2K$0
    Ira ParsonsNHOrthopaedic Surgery Physician$318.8K$0
    Atlantic Digestive Specialists, PLLCNHGastroenterology Physician$0$312.2K
    Aristotle DamianosNHGastroenterology Physician$273.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Hampshire Distribution
    Wal-mart Stores East LP — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire