WAL-MART STORES EAST LP
Community/Retail Pharmacy · FAIRVIEW, TN
Organization Active NPI 1063849875
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 147 | 460 | $32,714 | $31,881 | $31,881 |
| 2023 | 209 | 775 | $34,283 | $33,048 | $33,048 |
| 2022 | 534 | 3,063 | $51,751 | $49,932 | $49,932 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 125 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 120 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 92 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 67 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 25 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 13 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5262 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.