WAL-MART STORES EAST LP
NPI: 1043343148
· WEST HAVEN, CT 06516
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
230 |
$9K |
| 2019 |
204 |
$9K |
| 2020 |
189 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
597 |
565 |
$27K |
| A4259 |
Lancets per box |
26 |
25 |
$188.66 |