WAL-MART STORES EAST LP
Community/Retail Pharmacy · OAK RIDGE, TN
Organization Active NPI 1235156415
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 301 | 1,014 | $76,649 | $74,771 | $74,771 |
| 2023 | 335 | 1,194 | $63,517 | $61,421 | $61,421 |
| 2022 | 512 | 2,196 | $59,117 | $56,931 | $56,931 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 241 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 229 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 223 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 158 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 65 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 43 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $291 | $291 |
| 90684 | Pcv21 vaccine im | 12 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1872 | 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.