WAL-MART STORES EAST LP
NPI: 1336166677
· LEESVILLE, LA 71446
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
12 |
$0.00 |
| 2021 |
176 |
$0.00 |
| 2022 |
100 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0011A |
|
73 |
73 |
$0.00 |
| 0012A |
|
74 |
74 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
87 |
86 |
$0.00 |
| G0008 |
Admin influenza virus vac |
25 |
25 |
$0.00 |
| 0064A |
|
29 |
29 |
$0.00 |