WAL-MART STORES EAST LP
NPI: 1033136411
· PORT ORANGE, FL 32127
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
43 |
$0.00 |
| 2022 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
16 |
16 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
13 |
13 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |