WAL-MART STORES EAST LP
NPI: 1487100061
· NEW IBERIA, LA 70563
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
136 |
$0.00 |
| 2021 |
236 |
$0.00 |
| 2022 |
165 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
69 |
63 |
$0.00 |
| 0012A |
|
64 |
64 |
$0.00 |
| G0008 |
Admin influenza virus vac |
151 |
143 |
$0.00 |
| 0051A |
|
13 |
13 |
$0.00 |
| 90686 |
|
35 |
35 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
29 |
29 |
$0.00 |
| 0064A |
|
45 |
45 |
$0.00 |
| 90682 |
|
17 |
17 |
$0.00 |
| 90662 |
|
85 |
80 |
$0.00 |
| 90670 |
|
29 |
29 |
$0.00 |