WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLINTON, TN
Organization Active NPI 1467638890
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 122 | 382 | $29,167 | $28,266 | $28,266 |
| 2023 | 161 | 513 | $32,745 | $31,554 | $31,554 |
| 2022 | 265 | 907 | $26,320 | $25,299 | $25,299 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 99 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 96 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 73 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 60 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 19 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $291 | $291 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 11 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4505 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.