WAL-MART STORES EAST LP
Community/Retail Pharmacy · JACKSON, TN
Organization Active NPI 1811914013
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 167 | 474 | $35,328 | $34,454 | $34,454 |
| 2023 | 218 | 814 | $35,353 | $34,300 | $34,300 |
| 2022 | 316 | 1,689 | $37,234 | $36,139 | $36,139 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 134 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 124 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 77 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 40 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 37 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 26 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1845 | 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.