WAL-MART STORES EAST LP
Community/Retail Pharmacy · HIXSON, TN
Organization Active NPI 1982075156
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 164 | 482 | $33,646 | $32,745 | $32,745 |
| 2023 | 251 | 920 | $43,372 | $42,304 | $42,304 |
| 2022 | 301 | 885 | $28,312 | $27,137 | $27,137 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 140 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 135 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 87 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 49 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 38 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 14 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $288 | $288 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5719 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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.