WAL-MART STORES EAST LP
NPI: 1174540223
· MENOMONIE, WI 54751
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
18 |
$430.95 |
| 2020 |
32 |
$729.30 |
| 2022 |
86 |
$471.39 |
| 2023 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
65 |
52 |
$2K |
| 90750 |
|
71 |
68 |
$0.00 |
| 90679 |
|
13 |
13 |
$0.00 |