WAL-MART STORES EAST LP
NPI: 1073530341
· BOSSIER CITY, LA 71111
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
126 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
31 |
31 |
$0.00 |
| 0004A |
|
13 |
13 |
$0.00 |
| 0001A |
|
16 |
16 |
$0.00 |
| 0064A |
|
14 |
14 |
$0.00 |
| 0011A |
|
38 |
31 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |