WAL-MART STORES EAST LP
Community/Retail Pharmacy · ROGERSVILLE, TN
Organization Active NPI 1619994811
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 94 | 290 | $20,749 | $20,146 | $20,146 |
| 2023 | 134 | 574 | $23,503 | $22,659 | $22,659 |
| 2022 | 254 | 1,086 | $23,638 | $22,733 | $22,733 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 79 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 79 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 60 | $15 | $15 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 58 | $155 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3764 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.