WAL-MART STORES EAST LP
Community/Retail Pharmacy · ANTIOCH, TN
Organization Active NPI 1487671582
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 56 | 194 | $15,131 | $14,801 | $14,801 |
| 2023 | 66 | 318 | $12,634 | $12,052 | $12,052 |
| 2022 | 176 | 954 | $16,786 | $16,190 | $16,190 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 51 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 49 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 32 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 21 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 14 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3927 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1215903182
- NPI 1003354614
- NPI 1700304839
- NPI 1003840737
- NPI 1215176201
- NPI 1174750913
- NPI 1366464018
- NPI 1356403315
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.