WAL-MART STORES EAST LP
NPI: 1275550345
· MINOCQUA, WI 54548
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$397.80 |
| 2021 |
32 |
$828.75 |
| 2022 |
73 |
$497.80 |
| 2023 |
21 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
65 |
51 |
$2K |
| 90679 |
|
21 |
21 |
$0.00 |
| 90750 |
|
55 |
49 |
$0.00 |