WAL-MART STORES EAST LP
NPI: 1346267416
· HAYWARD, WI 54843
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
41 |
$830.13 |
| 2019 |
30 |
$762.45 |
| 2020 |
40 |
$861.90 |
| 2021 |
31 |
$782.45 |
| 2022 |
121 |
$979.30 |
| 2023 |
93 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90686 |
|
178 |
137 |
$4K |
| 90750 |
|
142 |
132 |
$0.00 |
| 90679 |
|
36 |
36 |
$0.00 |