WAL-MART STORES EAST LP
Community/Retail Pharmacy · LENOIR CITY, TN
Organization Active NPI 1598782773
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 424 | 1,330 | $98,317 | $94,047 | $94,047 |
| 2023 | 590 | 2,453 | $100,670 | $98,190 | $98,190 |
| 2022 | 882 | 3,650 | $111,193 | $107,675 | $107,675 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 383 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 375 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 233 | $15 | $15 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 157 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 54 | $145 | $145 |
| G0009 | Administration of pneumococcal vaccine | 49 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 32 | $291 | $291 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 22 | $158 | $158 |
| 90684 | Pcv21 vaccine im | 17 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1990 | 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.