WAL-MART STORES EAST LP
NPI: 1447277769
· DANVILLE, KY 40422
· 332B00000X
$633.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
86 |
$247.50 |
| 2019 |
106 |
$322.87 |
| 2020 |
12 |
$63.23 |
| 2021 |
49 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
191 |
185 |
$633.60 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 0064A |
|
49 |
49 |
$0.00 |