CAROL H WALLACE
Community/Retail Pharmacy · WINCHESTER, TN
Organization Active NPI 1962581702
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 137 | 370 | $32,147 | $27,498 | $27,498 |
| 2023 | 182 | 472 | $56,808 | $31,355 | $31,355 |
| 2022 | 371 | 760 | $56,479 | $32,422 | $32,422 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 112 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 102 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 60 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 57 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 13 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000001203 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
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.