WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLARKSVILLE, TN
Organization Active NPI 1134501265
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 50 | 142 | $10,137 | $9,861 | $9,861 |
| 2023 | 98 | 355 | $18,739 | $18,232 | $18,232 |
| 2022 | 156 | 674 | $16,769 | $16,187 | $16,187 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 37 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 33 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 30 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 15 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 15 | $155 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000005652 | 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.