WAL-MART STORES EAST LP
NPI: 1609893742
· SECAUCUS, NJ 07094
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
48 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90656 |
|
24 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
24 |
24 |
$0.00 |