WAL-MART STORES EAST LP
NPI: 1518984855
· RUSTON, LA 71270
· 333600000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
59 |
$0.00 |
| 2022 |
27 |
$0.00 |
| 2023 |
259 |
$0.00 |
| 2024 |
422 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
49 |
45 |
$0.00 |
| 90662 |
|
178 |
165 |
$0.00 |
| 91320 |
|
66 |
62 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
44 |
39 |
$0.00 |
| 90480 |
|
117 |
108 |
$0.00 |
| 90677 |
|
26 |
25 |
$0.00 |
| G0008 |
Admin influenza virus vac |
201 |
187 |
$0.00 |
| 0064A |
|
25 |
25 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
27 |
27 |
$0.00 |
| 0011A |
|
18 |
18 |
$0.00 |
| 0012A |
|
16 |
16 |
$0.00 |