WAL-MART STORES EAST LP
Community/Retail Pharmacy · HERMITAGE, TN
Organization Active NPI 1457378655
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 136 | 430 | $34,928 | $33,998 | $33,998 |
| 2023 | 207 | 806 | $40,916 | $39,757 | $39,757 |
| 2022 | 440 | 1,868 | $36,753 | $35,292 | $35,292 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 110 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 106 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 61 | $13 | $13 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 54 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 45 | $137 | $137 |
| G0009 | Administration of pneumococcal vaccine | 25 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1713 | 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.