WAL-MART STORES EAST LP
Pharmacy · KNOXVILLE, TN
Organization Active NPI 1013467505
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 96 | 322 | $22,701 | $22,122 | $22,122 |
| 2023 | 159 | 728 | $31,753 | $30,855 | $30,855 |
| 2022 | 245 | 972 | $29,678 | $28,617 | $28,617 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 84 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 80 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 71 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 37 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 34 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 5934 | TN |
| 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.