WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLARKSVILLE, TN
Organization Active NPI 1831116003
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 147 | 454 | $32,228 | $31,472 | $31,472 |
| 2023 | 194 | 667 | $33,062 | $32,087 | $32,087 |
| 2022 | 376 | 1,384 | $36,623 | $35,345 | $35,345 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 129 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 118 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 79 | $8 | $8 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 40 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $158 | $158 |
| G0009 | Administration of pneumococcal vaccine | 19 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1759 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1104583723
- NPI 1295162816
- NPI 1528033842
- NPI 1215426150
- NPI 1083950489
- NPI 1710395116
- NPI 1023243672
- NPI 1881140127
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.