WAL-MART STORES EAST LP
Community/Retail Pharmacy · SELMER, TN
Organization Active NPI 1326065517
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 198 | 584 | $41,070 | $40,117 | $40,117 |
| 2023 | 203 | 654 | $33,718 | $32,473 | $32,473 |
| 2022 | 384 | 1,350 | $38,835 | $37,648 | $37,648 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 178 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 174 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 91 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 68 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 23 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 23 | $15 | $15 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1633 | 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.