WAL-MART STORES EAST LP
NPI: 1376561175
· LAURINBURG, NC 28352
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
117 |
$0.00 |
| 2019 |
118 |
$1K |
| 2020 |
72 |
$587.13 |
| 2021 |
377 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
95 |
91 |
$2K |
| 0012A |
|
27 |
26 |
$1K |
| 90471 |
|
184 |
91 |
$954.83 |
| 90686 |
|
93 |
56 |
$786.51 |
| 0001A |
|
31 |
31 |
$260.00 |
| 91300 |
|
158 |
146 |
$0.00 |
| 91301 |
|
66 |
64 |
$0.00 |
| A4253 |
Blood glucose/reagent strips |
30 |
27 |
$0.00 |