WAL-MART STORES EAST LP
Community/Retail Pharmacy · BARTLETT, TN
Organization Active NPI 1528085727
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 213 | 708 | $53,825 | $52,264 | $52,264 |
| 2023 | 290 | 947 | $58,240 | $55,603 | $55,603 |
| 2022 | 550 | 1,521 | $50,738 | $48,527 | $48,527 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 190 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 183 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 119 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 69 | $156 | $156 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 50 | $146 | $146 |
| G0009 | Administration of pneumococcal vaccine | 45 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 27 | $291 | $291 |
| 90684 | Pcv21 vaccine im | 13 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3819 | 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.