WAL-MART STORES EAST LP
NPI: 1164449484
· MOREHEAD, KY 40351
· 332B00000X
$212.91
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$24.65 |
| 2019 |
53 |
$129.21 |
| 2020 |
29 |
$59.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
86 |
79 |
$212.91 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |