WAL-MART STORES EAST LP
Community/Retail Pharmacy · WINCHESTER, TN
Organization Active NPI 1508883786
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 270 | 736 | $49,610 | $48,404 | $48,404 |
| 2023 | 310 | 924 | $54,953 | $52,485 | $52,485 |
| 2022 | 500 | 1,561 | $52,524 | $50,449 | $50,449 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 235 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 226 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 118 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 100 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 18 | $143 | $143 |
| G0009 | Administration of pneumococcal vaccine | 15 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1826 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.