WAL-MART STORES EAST LP
Community/Retail Pharmacy · SAVANNAH, TN
Organization Active NPI 1639196835
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 214 | 594 | $44,602 | $43,322 | $43,322 |
| 2023 | 276 | 1,130 | $52,089 | $50,040 | $50,040 |
| 2022 | 368 | 1,852 | $46,358 | $44,847 | $44,847 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 172 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 163 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 93 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 84 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 32 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 154 | 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.