WAL-MART STORES EAST LP
NPI: 1093732364
· AUGUSTA, ME 04330
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
17 |
$0.00 |
| 2020 |
14 |
$0.00 |
| 2021 |
444 |
$0.00 |
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
69 |
69 |
$0.00 |
| 0011A |
|
137 |
133 |
$0.00 |
| 0012A |
|
132 |
129 |
$0.00 |
| G0008 |
Admin influenza virus vac |
56 |
56 |
$0.00 |
| 0064A |
|
93 |
93 |
$0.00 |