WAL-MART STORES EAST LP
NPI: 1669499885
· PORTLAND, IN 47371
· Durable Medical Equipment & Medical Supplies
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
13 |
13 |
$0.00 |
| 0011A |
|
15 |
15 |
$0.00 |