WAL-MART STORES EAST LP
NPI: 1609893940
· PINEVILLE, LA 71360
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2019 |
28 |
$0.00 |
| 2020 |
28 |
$0.00 |
| 2021 |
149 |
$0.00 |
| 2022 |
39 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Covid test self-admn/collect |
27 |
27 |
$0.00 |
| 0012A |
|
46 |
46 |
$0.00 |
| G0008 |
Admin influenza virus vac |
57 |
57 |
$0.00 |
| 0064A |
|
36 |
36 |
$0.00 |
| 0011A |
|
42 |
37 |
$0.00 |
| 0001A |
|
13 |
13 |
$0.00 |
| 90662 |
|
24 |
24 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |