WAL-MART STORES EAST LP
Community/Retail Pharmacy · MORRISTOWN, TN
Organization Active NPI 1699792879
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 109 | 334 | $23,321 | $22,778 | $22,778 |
| 2023 | 200 | 952 | $32,785 | $31,759 | $31,759 |
| 2022 | 300 | 1,477 | $28,944 | $28,007 | $28,007 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 94 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 91 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 64 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 40 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 24 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1830 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1710344908
- NPI 1225049893
- NPI 1760261044
- NPI 1124199146
- NPI 1780756585
- NPI 1194860726
- NPI 1750628962
- NPI 1215608708
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.