WAL-MART STORES EAST LP
NPI: 1023035235
· CLARKSVILLE, IN 47129
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$0.00 |
| 2019 |
13 |
$0.00 |
| 2021 |
47 |
$0.00 |
| 2023 |
15 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
21 |
21 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
30 |
30 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
15 |
12 |
$0.00 |
| 0064A |
|
14 |
14 |
$0.00 |