WAL-MART STORES EAST LP
Community/Retail Pharmacy · BROWNSVILLE, TN
Organization Active NPI 1871511618
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 151 | 414 | $29,759 | $28,981 | $28,981 |
| 2023 | 155 | 535 | $24,996 | $24,039 | $24,039 |
| 2022 | 184 | 674 | $22,803 | $22,060 | $22,060 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 110 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 102 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 84 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 51 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 33 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 13 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2071 | 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.