WAL-MART STORES EAST LP
NPI: 1235156522
· HARTFORD, CT 06106
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
581 |
$24K |
| 2019 |
625 |
$27K |
| 2020 |
637 |
$30K |
| 2021 |
147 |
$5K |
| 2022 |
28 |
$238.11 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
1,370 |
1,294 |
$80K |
| A4259 |
Lancets per box |
648 |
609 |
$7K |