WAL-MART STORES EAST LP
NPI: 1326283540
· VINELAND, NJ 08360
· 3336C0003X
$89.94
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
488 |
$89.94 |
| 2022 |
30 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
195 |
190 |
$56.00 |
| 0011A |
|
210 |
199 |
$33.94 |
| G0008 |
Admin influenza virus vac |
17 |
17 |
$0.00 |
| 0064A |
|
96 |
96 |
$0.00 |