WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLARKSVILLE, TN
Organization Active NPI 1598145559
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 87 | 298 | $22,011 | $21,377 | $21,377 |
| 2023 | 157 | 537 | $35,364 | $34,135 | $34,135 |
| 2022 | 245 | 715 | $27,902 | $26,854 | $26,854 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 74 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 69 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 65 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 26 | $149 | $149 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 00005665 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.