WAL-MART STORES EAST LP
Community/Retail Pharmacy · CHATTANOOGA, TN
Organization Active NPI 1396756813
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 194 | 656 | $54,179 | $52,511 | $52,511 |
| 2023 | 214 | 765 | $45,333 | $43,908 | $43,908 |
| 2022 | 317 | 1,018 | $30,911 | $29,578 | $29,578 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 144 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 141 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 133 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 77 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 52 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 51 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 43 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4309 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.