WAL-MART STORES EAST LP
NPI: 1659398956
· CLINTON, IN 47842
· Durable Medical Equipment & Medical Supplies
$18.31
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$18.31 |
| 2021 |
72 |
$0.00 |
| 2022 |
29 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
39 |
37 |
$18.31 |
| 0031A |
|
15 |
15 |
$0.00 |
| 0011A |
|
20 |
20 |
$0.00 |
| 0012A |
|
21 |
20 |
$0.00 |
| 0064A |
|
16 |
16 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
29 |
29 |
$0.00 |