WAL-MART STORES EAST LP
NPI: 1295752590
· SHELBYVILLE, IN 46176
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$0.00 |
| 2021 |
36 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
18 |
18 |
$0.00 |
| 0012A |
|
15 |
15 |
$0.00 |
| 0011A |
|
21 |
21 |
$0.00 |