WAL-MART STORES EAST LP
Community/Retail Pharmacy · SMYRNA, TN
Organization Active NPI 1316964596
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 103 | 328 | $25,833 | $25,178 | $25,178 |
| 2023 | 163 | 890 | $27,921 | $27,245 | $27,245 |
| 2022 | 294 | 1,010 | $25,624 | $24,591 | $24,591 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 88 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 84 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 51 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 30 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 25 | $19 | $19 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 21 | $147 | $147 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000002013 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1336408962
- NPI 1144576836
- NPI 1437570884
- NPI 1649194721
- NPI 1285659904
- NPI 1619901345
- NPI 1437199874
- NPI 1992954598
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.