WAL-MART STORES EAST LP
Community/Retail Pharmacy · CHATTANOOGA, TN
Organization Active NPI 1013934116
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 89 | 282 | $20,189 | $19,541 | $19,541 |
| 2023 | 121 | 383 | $21,178 | $20,445 | $20,445 |
| 2022 | 181 | 654 | $26,088 | $25,187 | $25,187 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 72 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 63 | $80 | $80 |
| 90480 | Admn sarscov2 vacc 1 dose | 60 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 31 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $154 | $154 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4015 | TN |
| 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.