WAL-MART STORES EAST LP
NPI: 1558389353
· NEW BERN, NC 28562
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
48 |
$327.80 |
| 2021 |
391 |
$7K |
| 2022 |
40 |
$390.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
102 |
101 |
$5K |
| 0064A |
|
25 |
25 |
$845.00 |
| 0001A |
|
34 |
34 |
$585.00 |
| 0002A |
|
21 |
21 |
$325.00 |
| 90686 |
|
24 |
12 |
$188.10 |
| 90471 |
|
24 |
12 |
$139.70 |
| 91301 |
|
146 |
145 |
$0.00 |
| 91300 |
|
103 |
99 |
$0.00 |