WAL-MART STORES EAST LP
NPI: 1053338392
· GONZALES, LA 70737
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
60 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
25 |
25 |
$0.00 |
| 0012A |
|
23 |
23 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |