WAL-MART STORES EAST LP
NPI: 1417974791
· MANCHESTER, CT 06042
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
161 |
$9K |
| 2019 |
142 |
$7K |
| 2020 |
39 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
327 |
306 |
$18K |
| A4259 |
Lancets per box |
15 |
13 |
$109.49 |