WAL-MART STORES EAST LP
NPI: 1265451272
· RICE LAKE, WI 54868
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
20 |
$464.10 |
| 2021 |
26 |
$663.00 |
| 2022 |
181 |
$1K |
| 2023 |
113 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
86 |
70 |
$2K |
| 90679 |
|
68 |
68 |
$0.00 |
| 90750 |
|
186 |
175 |
$0.00 |