WAL-MART STORES EAST LP
Community/Retail Pharmacy · CORDOVA, TN
Organization Active NPI 1255359006
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 329 | 1,060 | $81,134 | $78,919 | $78,919 |
| 2023 | 469 | 2,487 | $79,944 | $77,776 | $77,776 |
| 2022 | 1,033 | 6,473 | $112,794 | $109,294 | $109,294 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 274 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 267 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 193 | $14 | $14 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 136 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 63 | $18 | $18 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 57 | $150 | $150 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 44 | $290 | $290 |
| 90684 | Pcv21 vaccine im | 15 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3045 | 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.