WAL-MART STORES EAST LP
NPI: 1346267689
· WEST MONROE, LA 71291
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
245 |
$0.00 |
| 2022 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
81 |
77 |
$0.00 |
| 0064A |
|
102 |
102 |
$0.00 |
| 0012A |
|
62 |
62 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
15 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |