WAL-MART STORES EAST LP
NPI: 1154348399
· ALBEMARLE, NC 28001
· 332B00000X
$65.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
78 |
$65.00 |
| 2022 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
19 |
16 |
$65.00 |
| 91300 |
|
59 |
52 |
$0.00 |
| 91301 |
|
14 |
12 |
$0.00 |