WAL-MART STORES EAST LP
NPI: 1255358529
· MORGAN CITY, LA 70380
· 332B00000X
$49.91
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
29 |
$49.91 |
| 2020 |
28 |
$0.00 |
| 2021 |
370 |
$0.00 |
| 2022 |
69 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
13 |
12 |
$49.91 |
| 90662 |
|
12 |
12 |
$0.00 |
| 0011A |
|
141 |
132 |
$0.00 |
| 0064A |
|
91 |
91 |
$0.00 |
| G0008 |
Admin influenza virus vac |
74 |
74 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
56 |
56 |
$0.00 |
| 0012A |
|
109 |
109 |
$0.00 |