WAL-MART STORES EAST LP
NPI: 1629095773
· ONALASKA, WI 54650
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$673.08 |
| 2019 |
56 |
$2K |
| 2020 |
13 |
$331.50 |
| 2021 |
24 |
$596.70 |
| 2022 |
152 |
$394.58 |
| 2023 |
55 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
131 |
117 |
$4K |
| 90750 |
|
170 |
158 |
$0.00 |
| 90679 |
|
24 |
24 |
$0.00 |