WAL-MART STORES EAST LP
NPI: 1417974783
· BOUTTE, LA 70039
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
144 |
$0.00 |
| 2022 |
19 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
15 |
15 |
$0.00 |
| 0001A |
|
12 |
12 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
19 |
19 |
$0.00 |
| 0011A |
|
59 |
54 |
$0.00 |
| 0012A |
|
36 |
36 |
$0.00 |
| 0064A |
|
22 |
22 |
$0.00 |