WAL-MART STORES EAST LP
NPI: 1235156548
· NORTH MIAMI BEACH, FL 33162
· 332B00000X
$40.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
37 |
$40.00 |
| 2022 |
149 |
$0.00 |
| 2023 |
51 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
18 |
16 |
$40.00 |
| K1034 |
Covid test self-admn/collect |
200 |
193 |
$0.00 |
| 0004A |
|
19 |
18 |
$0.00 |