WAL-MART STORES EAST LP
NPI: 1497954978
· KINGWOOD, WV 26537
· 332B00000X
$682.42
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$49.92 |
| 2019 |
76 |
$492.71 |
| 2020 |
14 |
$139.79 |
| 2021 |
50 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
108 |
97 |
$682.42 |
| 0004A |
|
50 |
50 |
$0.00 |