WAL-MART STORES EAST LP
NPI: 1164449435
· VILLE PLATTE, LA 70586
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
677 |
$1K |
| 2019 |
267 |
$480.05 |
| 2020 |
364 |
$599.12 |
| 2021 |
637 |
$265.92 |
| 2022 |
246 |
$0.00 |
| 2023 |
149 |
$0.00 |
| 2024 |
209 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
734 |
721 |
$3K |
| A4259 |
Lancets per box |
208 |
203 |
$98.23 |
| 0012A |
|
118 |
118 |
$0.00 |
| 0064A |
|
148 |
148 |
$0.00 |
| 90480 |
|
47 |
47 |
$0.00 |
| 0011A |
|
140 |
128 |
$0.00 |
| G0008 |
Admin influenza virus vac |
508 |
478 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
53 |
52 |
$0.00 |
| 90732 |
|
29 |
27 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 0001A |
|
16 |
16 |
$0.00 |
| 0134A |
|
25 |
25 |
$0.00 |
| 91320 |
|
25 |
25 |
$0.00 |
| 90662 |
|
369 |
349 |
$0.00 |
| 0002A |
|
14 |
14 |
$0.00 |
| 90682 |
|
81 |
71 |
$0.00 |
| 91322 |
|
19 |
19 |
$0.00 |