WAL-MART STORES EAST LP
NPI: 1578580783
· LAFAYETTE, IN 47905
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2019 |
13 |
$0.00 |
| 2021 |
141 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
46 |
46 |
$0.00 |
| 0012A |
|
53 |
53 |
$0.00 |
| G0008 |
Admin influenza virus vac |
25 |
25 |
$0.00 |
| 0064A |
|
42 |
42 |
$0.00 |