WAL-MART STORES EAST LP
NPI: 1306863709
· HIALEAH GARDENS, FL 33016
· Durable Medical Equipment & Medical Supplies
$120.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
202 |
$120.00 |
| 2022 |
136 |
$0.00 |
| 2023 |
77 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
72 |
65 |
$120.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
213 |
198 |
$0.00 |
| 0011A |
|
55 |
46 |
$0.00 |
| 0012A |
|
53 |
46 |
$0.00 |
| 0064A |
|
22 |
20 |
$0.00 |