WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLARKSVILLE, TN
Organization Active NPI 1700803905
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 359 | 1,202 | $90,822 | $88,631 | $88,631 |
| 2023 | 451 | 1,636 | $83,144 | $80,510 | $80,510 |
| 2022 | 754 | 3,200 | $83,927 | $80,551 | $80,551 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 296 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 286 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 250 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 141 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 109 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 55 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 29 | $289 | $289 |
| 90684 | Pcv21 vaccine im | 26 | $320 | $320 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3768 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.