WAL-MART STORES EAST LP
NPI: 1457378580
· CLARKSBURG, WV 26301
· 332B00000X
$513.72
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$513.72 |
| 2020 |
12 |
$0.00 |
| 2021 |
74 |
$0.00 |
| 2022 |
24 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
24 |
24 |
$513.72 |
| 0002A |
|
14 |
14 |
$0.00 |
| 0004A |
|
33 |
33 |
$0.00 |
| 0001A |
|
27 |
27 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
24 |
19 |
$0.00 |