WAL-MART STORES EAST LP
Community/Retail Pharmacy · MOUNT JULIET, TN
Organization Active NPI 1841423860
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 187 | 594 | $44,302 | $43,203 | $43,203 |
| 2023 | 276 | 1,063 | $52,572 | $50,980 | $50,980 |
| 2022 | 538 | 2,405 | $53,064 | $51,076 | $51,076 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 150 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 146 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 121 | $10 | $10 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 75 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 46 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 26 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $288 | $288 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4677 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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.