WAL-MART STORES EAST LP
NPI: 1619994787
· ANTIGO, WI 54409
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$331.71 |
| 2019 |
47 |
$1K |
| 2021 |
24 |
$596.70 |
| 2022 |
57 |
$534.32 |
| 2023 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
108 |
84 |
$3K |
| 90679 |
|
14 |
14 |
$0.00 |
| 90750 |
|
36 |
30 |
$0.00 |