WAL-MART STORES EAST LP
NPI: 1033580659
· THIBODAUX, LA 70301
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
152 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
63 |
58 |
$0.00 |
| 0064A |
|
17 |
17 |
$0.00 |
| 0012A |
|
72 |
72 |
$0.00 |