WAL-MART STORES EAST LP
NPI: 1386661692
· NORTHAMPTON, MA 01060
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2020 |
32 |
$0.00 |
| 2021 |
38 |
$0.00 |
| 2022 |
118 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
29 |
29 |
$0.00 |
| G0008 |
Admin influenza virus vac |
157 |
157 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |