WAL-MART STORES EAST LP
NPI: 1730106006
· FARMINGTON, ME 04938
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
281 |
$934.19 |
| 2019 |
156 |
$528.20 |
| 2020 |
85 |
$306.96 |
| 2021 |
658 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
381 |
359 |
$2K |
| 0012A |
|
173 |
173 |
$0.00 |
| G0008 |
Admin influenza virus vac |
114 |
114 |
$0.00 |
| 0011A |
|
181 |
181 |
$0.00 |
| 0064A |
|
236 |
236 |
$0.00 |
| 90662 |
|
27 |
27 |
$0.00 |
| 0004A |
|
68 |
68 |
$0.00 |