WAL-MART STORES EAST LP
NPI: 1518984871
· BASTROP, LA 71220
· 332B00000X
$212.98
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$34.95 |
| 2019 |
56 |
$178.03 |
| 2020 |
12 |
$0.00 |
| 2021 |
427 |
$0.00 |
| 2022 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
54 |
50 |
$212.98 |
| 0004A |
|
29 |
29 |
$0.00 |
| 0011A |
|
152 |
150 |
$0.00 |
| 0012A |
|
133 |
133 |
$0.00 |
| 0064A |
|
113 |
113 |
$0.00 |
| G0008 |
Admin influenza virus vac |
27 |
27 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
28 |
28 |
$0.00 |