WAL-MART STORES EAST LP
Community/Retail Pharmacy · COOKEVILLE, TN
Organization Active NPI 1295752392
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 339 | 1,008 | $71,035 | $69,378 | $69,378 |
| 2023 | 438 | 1,468 | $79,514 | $76,957 | $76,957 |
| 2022 | 595 | 2,113 | $70,664 | $68,321 | $68,321 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 300 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 283 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 163 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 95 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 67 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 41 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $290 | $290 |
| 90684 | Pcv21 vaccine im | 13 | $321 | $321 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 11 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3962 | 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.