WAL-MART STORES EAST LP
NPI: 1063439313
· SPRINGHILL, LA 71075
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
300 |
$0.00 |
| 2022 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
120 |
120 |
$0.00 |
| 0011A |
|
109 |
108 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
27 |
27 |
$0.00 |
| 0064A |
|
71 |
71 |
$0.00 |