WAL-MART STORES EAST LP
Community/Retail Pharmacy · DICKSON, TN
Organization Active NPI 1528085719
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 268 | 862 | $64,002 | $62,141 | $62,141 |
| 2023 | 318 | 1,213 | $64,898 | $62,783 | $62,783 |
| 2022 | 675 | 3,155 | $62,982 | $60,407 | $60,407 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 204 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 202 | $14 | $14 |
| 90662 | Influenza vaccine split virus, preservative free | 197 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 157 | $154 | $154 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 45 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 25 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C2336 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1629186044
- NPI 1659381093
- NPI 1518153972
- NPI 1124188032
- NPI 1467708586
- NPI 1558395285
- NPI 1073170718
- NPI 1346690278
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.