WAL-MART STORES EAST LP
NPI: 1578580940
· NEW ALBANY, IN 47150
· 333600000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
13 |
$0.00 |
| 2021 |
108 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0064A |
|
28 |
28 |
$0.00 |
| 0012A |
|
44 |
44 |
$0.00 |
| 0011A |
|
36 |
36 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |