WAL-MART STORES EAST LP
Community/Retail Pharmacy · JOHNSON CITY, TN
Organization Active NPI 1477570646
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 94 | 288 | $20,680 | $20,239 | $20,239 |
| 2023 | 175 | 932 | $26,371 | $25,711 | $25,711 |
| 2022 | 284 | 1,658 | $28,010 | $27,170 | $27,170 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 80 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 77 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 53 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 30 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 23 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 11 | $15 | $15 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1812 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1033280052
- NPI 1073940334
- NPI 1346004157
- NPI 1881360998
- NPI 1508134768
- NPI 1902811557
- NPI 1720427180
- NPI 1477043768
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.