WAL-MART STORES EAST LP
Community/Retail Pharmacy · SMITHVILLE, TN
Organization Active NPI 1457416661
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 138 | 420 | $31,829 | $31,015 | $31,015 |
| 2023 | 214 | 923 | $31,736 | $30,908 | $30,908 |
| 2022 | 365 | 1,307 | $30,873 | $29,932 | $29,932 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 118 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 113 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 68 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 62 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 24 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4343 | 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.