WAL-MART STORES EAST LP
NPI: 1164449302
· MOUNT AIRY, NC 27030
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$28.29 |
| 2019 |
78 |
$205.65 |
| 2020 |
16 |
$0.00 |
| 2021 |
273 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
79 |
73 |
$3K |
| 0001A |
|
44 |
43 |
$910.00 |
| 90686 |
|
13 |
12 |
$198.99 |
| A4253 |
Blood glucose/reagent strips |
124 |
119 |
$34.95 |
| 91300 |
|
150 |
135 |
$0.00 |