WAL-MART STORES EAST LP
Community/Retail Pharmacy · SPRING HILL, TN
Organization Active NPI 1659612018
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 237 | 754 | $53,529 | $52,089 | $52,089 |
| 2023 | 329 | 1,206 | $60,716 | $58,837 | $58,837 |
| 2022 | 578 | 2,354 | $56,672 | $54,238 | $54,238 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 190 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 184 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 173 | $11 | $11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 94 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 78 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 14 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 00005219 | 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.