Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › STATESVILLE › WAL-MART STORES EAST LP

WAL-MART STORES EAST LP

NPI: 1770500936 · STATESVILLE, NC 28625 · 332B00000X

$10K
Total Medicaid Paid
932
Total Claims
839
Beneficiaries
11
Codes Billed
2018-09
First Month
2022-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 59 $114.70
2021 802 $10K
2022 71 $65.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 204 189 $5K
0012A 51 47 $3K
0001A 57 57 $975.00
0071A 42 42 $780.00
0072A 31 31 $585.00
90715 22 13 $77.86
90471 37 15 $36.84
91301 51 47 $0.00
91307 85 78 $0.00
91305 15 12 $0.00
91300 337 308 $0.00