WAL-MART STORES EAST LP
Community/Retail Pharmacy · CHATTANOOGA, TN
Organization Active NPI 1861872822
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 192 | 626 | $49,360 | $48,172 | $48,172 |
| 2023 | 508 | 4,459 | $84,141 | $82,251 | $82,251 |
| 2022 | 589 | 5,044 | $73,348 | $71,359 | $71,359 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 159 | $81 | $81 |
| G0008 | Administration of influenza virus vaccine | 159 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 109 | $12 | $12 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 71 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 45 | $18 | $18 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 38 | $148 | $148 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 33 | $289 | $289 |
| 90684 | Pcv21 vaccine im | 11 | $319 | $319 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5609 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.