WAL-MART STORES EAST LP
NPI: 1376700153
· JEFFERSON, WI 53549
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$360.36 |
| 2020 |
15 |
$364.65 |
| 2021 |
15 |
$351.50 |
| 2022 |
65 |
$902.89 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
78 |
67 |
$2K |
| 90750 |
|
33 |
33 |
$0.00 |