WAL-MART STORES EAST LP
Community/Retail Pharmacy · DAYTON, TN
Organization Active NPI 1356368542
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 163 | 454 | $34,608 | $33,666 | $33,666 |
| 2023 | 182 | 578 | $30,400 | $29,307 | $29,307 |
| 2022 | 296 | 1,022 | $26,161 | $25,146 | $25,146 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 124 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 116 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 77 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 51 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 26 | $153 | $153 |
| G0009 | Administration of pneumococcal vaccine | 26 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2266 | 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.