WAL-MART STORES TEXAS LLC
NPI: 1245258086
· RIO GRANDE CITY, TX 78582
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
30 |
30 |
$0.00 |
| 90662 |
|
25 |
25 |
$0.00 |