WALMART STORES EAST LP
Community/Retail Pharmacy · KINGSPORT, TN
Organization Active NPI 1659757854
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 40 | 118 | $9,035 | $8,786 | $8,786 |
| 2023 | 93 | 428 | $13,677 | $13,373 | $13,373 |
| 2022 | 169 | 870 | $16,514 | $15,904 | $15,904 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 35 | $81 | $81 |
| G0008 | Administration of influenza virus vaccine | 35 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 16 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 13 | $154 | $154 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000005681 | 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.