WAL-MART STORES EAST LP
NPI: 1003833377
· BANGOR, ME 04401
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$0.00 |
| 2019 |
72 |
$0.00 |
| 2020 |
55 |
$0.00 |
| 2021 |
467 |
$0.00 |
| 2022 |
54 |
$0.00 |
| 2023 |
27 |
$0.00 |
| 2024 |
29 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
124 |
124 |
$0.00 |
| 0064A |
|
84 |
84 |
$0.00 |
| 0012A |
|
131 |
131 |
$0.00 |
| G0008 |
Admin influenza virus vac |
217 |
217 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 0004A |
|
41 |
41 |
$0.00 |
| 90662 |
|
70 |
70 |
$0.00 |
| 0003A |
|
27 |
27 |
$0.00 |