WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLEVELAND, TN
Organization Active NPI 1104843200
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 105 | 291 | $20,298 | $19,805 | $19,805 |
| 2023 | 128 | 441 | $23,779 | $23,218 | $23,218 |
| 2022 | 206 | 516 | $16,987 | $16,250 | $16,250 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 91 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 90 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 44 | $11 | $11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 31 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 14 | $148 | $148 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3960 | 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.