WAL-MART STORES EAST LP
Community/Retail Pharmacy · BOLIVAR, TN
Organization Active NPI 1881611069
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 219 | 662 | $47,064 | $45,825 | $45,825 |
| 2023 | 294 | 1,202 | $53,831 | $51,840 | $51,840 |
| 2022 | 427 | 1,826 | $45,490 | $44,051 | $44,051 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 202 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 198 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 104 | $14 | $14 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 62 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 42 | $153 | $153 |
| G0009 | Administration of pneumococcal vaccine | 25 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1816 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1851495451
- NPI 1821395138
- NPI 1265878557
- NPI 1730724493
- NPI 1013068220
- NPI 1598723447
- NPI 1073170718
- NPI 1346690278
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.