WAL-MART STORES EAST LP
NPI: 1326065665
· WINNSBORO, LA 71295
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
238 |
$815.81 |
| 2019 |
303 |
$921.49 |
| 2020 |
298 |
$1K |
| 2021 |
592 |
$178.46 |
| 2022 |
45 |
$50.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
885 |
844 |
$3K |
| A4259 |
Lancets per box |
12 |
12 |
$3.37 |
| 0004A |
|
29 |
29 |
$0.00 |
| 0064A |
|
98 |
98 |
$0.00 |
| G0008 |
Admin influenza virus vac |
32 |
32 |
$0.00 |
| 0011A |
|
200 |
189 |
$0.00 |
| 0012A |
|
191 |
190 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
29 |
28 |
$0.00 |