WAL-MART STORES EAST LP
Community/Retail Pharmacy · TULLAHOMA, TN
Organization Active NPI 1740207919
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 234 | 718 | $52,278 | $50,877 | $50,877 |
| 2023 | 299 | 991 | $59,006 | $57,512 | $57,512 |
| 2022 | 519 | 1,587 | $54,490 | $52,315 | $52,315 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 204 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 192 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 126 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 103 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 29 | $20 | $20 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 23 | $148 | $148 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1762 | 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.