WAL-MART STORES EAST LP
NPI: 1619994951
· MINDEN, LA 71055
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$0.00 |
| 2021 |
391 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 0012A |
|
142 |
140 |
$0.00 |
| 0011A |
|
153 |
147 |
$0.00 |
| 0064A |
|
96 |
96 |
$0.00 |