WAL-MART STORES EAST LP
Community/Retail Pharmacy · CLARKSVILLE, TN
Organization Active NPI 1932587045
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 57 | 192 | $13,826 | $13,468 | $13,468 |
| 2023 | 113 | 392 | $22,474 | $21,639 | $21,639 |
| 2022 | 132 | 480 | $14,356 | $13,783 | $13,783 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 54 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 54 | $21 | $21 |
| 90480 | Admn sarscov2 vacc 1 dose | 36 | $11 | $11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000005669 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1104583723
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.