WAL-MART STORES EAST LP
NPI: 1699792937
· MARRERO, LA 70072
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
267 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0004A |
|
14 |
14 |
$0.00 |
| 0011A |
|
99 |
95 |
$0.00 |
| 0064A |
|
63 |
63 |
$0.00 |
| 0012A |
|
78 |
78 |
$0.00 |
| 0001A |
|
13 |
13 |
$0.00 |