WAL-MART STORES EAST LP
NPI: 1518984681
· LA CROSSE, WI 54601
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
18 |
$464.10 |
| 2021 |
12 |
$0.00 |
| 2022 |
37 |
$778.31 |
| 2023 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
36 |
29 |
$898.97 |
| 0124A |
|
19 |
19 |
$343.44 |
| 90679 |
|
17 |
17 |
$0.00 |
| 91303 |
|
12 |
12 |
$0.00 |