WAL-MART STORES EAST LP
NPI: 1609893973
· SULPHUR, LA 70663
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
155 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
42 |
42 |
$0.00 |
| 0011A |
|
59 |
59 |
$0.00 |
| 0012A |
|
54 |
54 |
$0.00 |