WAL-MART STORES EAST LP
NPI: 1346268760
· BEDFORD, IN 47421
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$0.00 |
| 2019 |
28 |
$0.00 |
| 2020 |
34 |
$0.00 |
| 2021 |
207 |
$0.00 |
| 2022 |
108 |
$0.00 |
| 2023 |
63 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90682 |
|
13 |
13 |
$0.00 |
| 91322 |
|
17 |
16 |
$0.00 |
| 0004A |
|
29 |
29 |
$0.00 |
| 90662 |
|
36 |
31 |
$0.00 |
| 0124A |
|
15 |
14 |
$0.00 |
| 0011A |
|
45 |
45 |
$0.00 |
| 0064A |
|
125 |
123 |
$0.00 |
| G0008 |
Admin influenza virus vac |
121 |
116 |
$0.00 |
| 90480 |
|
17 |
16 |
$0.00 |
| 0012A |
|
39 |
39 |
$0.00 |