WAL-MART STORES EAST LP
Community/Retail Pharmacy · MADISON, TN
Organization Active NPI 1780603795
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 28 | 102 | $7,874 | $7,671 | $7,671 |
| 2023 | 49 | 209 | $7,962 | $7,647 | $7,647 |
| 2022 | 143 | 742 | $14,248 | $13,707 | $13,707 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 25 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 23 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 20 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 18 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4189 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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.