WAL-MART STORES EAST LP
NPI: 1457378770
· MAYSVILLE, KY 41056
· 332B00000X
$277.30
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$154.15 |
| 2019 |
27 |
$123.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
55 |
55 |
$231.10 |
| Q0513 |
Disp fee inhal drugs/30 days |
14 |
13 |
$46.20 |