WAL-MART STORES EAST LP
Community/Retail Pharmacy · WHITE HOUSE, TN
Organization Active NPI 1093991424
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 150 | 487 | $35,456 | $34,262 | $34,262 |
| 2023 | 211 | 990 | $41,500 | $40,423 | $40,423 |
| 2022 | 378 | 1,681 | $38,487 | $36,971 | $36,971 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 133 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 124 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 93 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 45 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 44 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 18 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4488 | 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.