WAL-MART STORES EAST LP
NPI: 1639303001
· CONCORD, NC 28027
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
339 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
122 |
116 |
$4K |
| 0012A |
|
15 |
15 |
$975.00 |
| 0001A |
|
17 |
17 |
$195.00 |
| 91301 |
|
15 |
15 |
$0.00 |
| 91300 |
|
170 |
155 |
$0.00 |