WAL-MART STORES EAST , LP
NPI: 1679942221
· GRETNA, LA 70053
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
38 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0031A |
|
21 |
21 |
$0.00 |
| 0064A |
|
17 |
17 |
$0.00 |