WAL-MART STORES EAST LP
NPI: 1306863527
· ANDERSON, IN 46013
· 333600000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$0.00 |
| 2019 |
13 |
$0.00 |
| 2020 |
12 |
$0.00 |
| 2021 |
340 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
106 |
105 |
$0.00 |
| A4253 |
Blood glucose/reagent strips |
56 |
54 |
$0.00 |
| 0011A |
|
108 |
105 |
$0.00 |
| 0064A |
|
114 |
110 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |