WAL-MART STORES EAST LP
NPI: 1275550543
· BREWER, ME 04412
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
36 |
$0.00 |
| 2021 |
599 |
$0.00 |
| 2022 |
16 |
$0.00 |
| 2023 |
25 |
$0.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
164 |
164 |
$0.00 |
| G0008 |
Admin influenza virus vac |
112 |
112 |
$0.00 |
| 0064A |
|
116 |
116 |
$0.00 |
| 0011A |
|
173 |
169 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| 0004A |
|
98 |
98 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |