WAL-MART STORES EAST LP
Community/Retail Pharmacy · MORRISTOWN, TN
Organization Active NPI 1912398967
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 140 | 410 | $29,627 | $28,845 | $28,845 |
| 2023 | 176 | 592 | $31,408 | $30,409 | $30,409 |
| 2022 | 360 | 1,178 | $37,366 | $35,909 | $35,909 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 123 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 115 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 64 | $11 | $11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 46 | $155 | $155 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 18 | $150 | $150 |
| G0009 | Administration of pneumococcal vaccine | 18 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000005508 | TN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.