WAL-MART STORES EAST LP
NPI: 1720005044
· HAZARD, KY 41701
· Durable Medical Equipment & Medical Supplies
$166.41
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
71 |
$166.41 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
56 |
56 |
$166.41 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |