WAL-MART STORES EAST LP
NPI: 1760409973
· WEST MELBOURNE, FL 32904
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
103 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
51 |
48 |
$0.00 |
| 0011A |
|
52 |
48 |
$0.00 |