WAL-MART STORES EAST LP
Community/Retail Pharmacy · HUNTINGDON, TN
Organization Active NPI 1336166529
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 266 | 750 | $50,308 | $49,115 | $49,115 |
| 2023 | 267 | 874 | $45,776 | $43,767 | $43,767 |
| 2022 | 425 | 1,811 | $41,479 | $39,950 | $39,950 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 238 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 224 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 117 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 86 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 31 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 20 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C3024 | 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.