WAL-MART STORES EAST LP
NPI: 1376560417
· PARKERSBURG, WV 26101
· 332B00000X
$425.70
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$425.70 |
| 2021 |
35 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
25 |
25 |
$425.70 |
| 0064A |
|
22 |
22 |
$0.00 |