WAL-MART STORES EAST LP
NPI: 1295752509
· WASHINGTON, IN 47501
· 332B00000X
$1.66
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$0.00 |
| 2019 |
14 |
$1.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
14 |
14 |
$1.66 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |