WAL-MART STORES EAST LP
Community/Retail Pharmacy · SEVIERVILLE, TN
Organization Active NPI 1417974601
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 56 | 184 | $14,213 | $13,789 | $13,789 |
| 2023 | 103 | 406 | $19,762 | $19,300 | $19,300 |
| 2022 | 232 | 1,191 | $22,951 | $22,218 | $22,218 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 50 | $81 | $81 |
| G0008 | Administration of influenza virus vaccine | 50 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 29 | $15 | $15 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 24 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 13 | $20 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C3069 | 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.