WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLARKSVILLE, TN
Organization Active NPI 1922025196
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 102 | 336 | $23,506 | $22,925 | $22,925 |
| 2023 | 140 | 432 | $27,986 | $27,154 | $27,154 |
| 2022 | 285 | 908 | $28,601 | $27,508 | $27,508 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 83 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 79 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 77 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 44 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 35 | $147 | $147 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1760 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.