WAL-MART STORES EAST LP
NPI: 1699792952
· OPELOUSAS, LA 70570
· 332B00000X
$106.52
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$38.28 |
| 2019 |
15 |
$33.28 |
| 2020 |
24 |
$34.96 |
| 2021 |
486 |
$0.00 |
| 2022 |
33 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
40 |
39 |
$106.52 |
| 0001A |
|
88 |
88 |
$0.00 |
| G0008 |
Admin influenza virus vac |
44 |
44 |
$0.00 |
| 0011A |
|
94 |
79 |
$0.00 |
| 0064A |
|
69 |
69 |
$0.00 |
| 0012A |
|
72 |
72 |
$0.00 |
| 0002A |
|
95 |
94 |
$0.00 |
| 90662 |
|
26 |
26 |
$0.00 |
| 0004A |
|
43 |
43 |
$0.00 |