WAL-MART STORES EAST LP
NPI: 1083817829
· BREAUX BRIDGE, LA 70517
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
18 |
$0.00 |
| 2020 |
44 |
$0.00 |
| 2021 |
551 |
$0.00 |
| 2022 |
41 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
31 |
31 |
$0.00 |
| 0002A |
|
78 |
78 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 0011A |
|
135 |
123 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
29 |
29 |
$0.00 |
| 0001A |
|
63 |
63 |
$0.00 |
| 0012A |
|
116 |
116 |
$0.00 |
| 0064A |
|
112 |
112 |
$0.00 |
| G0008 |
Admin influenza virus vac |
78 |
78 |
$0.00 |