WAL-MART STORES EAST LP
NPI: 1083631378
· SHELTON, CT 06484
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
87 |
$5K |
| 2019 |
41 |
$2K |
| 2020 |
122 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
237 |
225 |
$13K |
| A4259 |
Lancets per box |
13 |
13 |
$103.63 |