WAL-MART STORES EAST LP
NPI: 1306857826
· LAUDERDALE LAKES, FL 33313
· 332B00000X
$360.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
409 |
$360.00 |
| 2022 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
192 |
172 |
$200.00 |
| 0001A |
|
151 |
132 |
$160.00 |
| K1034 |
Covid test self-admn/collect |
25 |
24 |
$0.00 |
| 0004A |
|
66 |
61 |
$0.00 |