WAL-MART STORES EAST LP
Community/Retail Pharmacy · JOHNSON CITY, TN
Organization Active NPI 1629133830
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 79 | 224 | $16,155 | $15,788 | $15,788 |
| 2023 | 132 | 800 | $21,559 | $20,905 | $20,905 |
| 2022 | 235 | 1,541 | $27,244 | $26,463 | $26,463 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 67 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 61 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 33 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 21 | $153 | $153 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 12 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 12 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4344 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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.