WAL-MART STORES EAST LP
Community/Retail Pharmacy · CHATTANOOGA, TN
Organization Active NPI 1497772677
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 155 | 444 | $33,146 | $32,210 | $32,210 |
| 2023 | 246 | 961 | $40,324 | $39,231 | $39,231 |
| 2022 | 438 | 1,850 | $50,672 | $48,809 | $48,809 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 113 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 111 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 91 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 48 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 41 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 18 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2111 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1073170718
- NPI 1285395368
- NPI 1902952641
- NPI 1366254187
- NPI 1760528806
- NPI 1982952917
- NPI 1558948091
- NPI 1720873920
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.