WAL-MART STORES EAST LP
NPI: 1508146606
· HAMMOND, IN 46320
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
37 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
18 |
18 |
$0.00 |
| 0011A |
|
19 |
19 |
$0.00 |