WAL-MART STORES EAST LP
NPI: 1023035334
· COLUMBUS, IN 47201
· 332B00000X
$191.13
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
27 |
$18.29 |
| 2020 |
27 |
$172.84 |
| 2021 |
153 |
$0.00 |
| 2022 |
33 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
42 |
39 |
$191.13 |
| 0011A |
|
65 |
65 |
$0.00 |
| 0064A |
|
40 |
40 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
33 |
32 |
$0.00 |
| 0012A |
|
48 |
48 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |