WAL-MART STORES EAST LP
NPI: 1417974700
· NEW HAVEN, CT 06513
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
302 |
$14K |
| 2019 |
236 |
$13K |
| 2020 |
358 |
$18K |
| 2021 |
140 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
949 |
890 |
$51K |
| A4259 |
Lancets per box |
87 |
84 |
$779.99 |