WAL-MART STORES EAST LP
NPI: 1154348498
· NATCHITOCHES, LA 71457
· 332B00000X
$71.56
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$71.56 |
| 2019 |
15 |
$0.00 |
| 2021 |
327 |
$0.00 |
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
13 |
13 |
$71.56 |
| 0011A |
|
168 |
156 |
$0.00 |
| 0012A |
|
139 |
139 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
15 |
15 |
$0.00 |
| 0064A |
|
20 |
20 |
$0.00 |