WAL-MART STORES EAST LP
NPI: 1790702942
· GOLDSBORO, NC 27534
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
131 |
$0.00 |
| 2019 |
13 |
$0.00 |
| 2020 |
120 |
$752.75 |
| 2021 |
345 |
$3K |
| 2022 |
39 |
$130.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
30 |
28 |
$1K |
| 0031A |
|
17 |
17 |
$780.00 |
| 0002A |
|
35 |
35 |
$520.00 |
| 90686 |
|
51 |
28 |
$489.06 |
| 0001A |
|
37 |
37 |
$455.00 |
| 90471 |
|
54 |
29 |
$263.69 |
| 0071A |
|
26 |
26 |
$130.00 |
| A4253 |
Blood glucose/reagent strips |
159 |
157 |
$0.00 |
| 91307 |
|
56 |
50 |
$0.00 |
| 91301 |
|
44 |
42 |
$0.00 |
| 91303 |
|
17 |
17 |
$0.00 |
| 91300 |
|
122 |
115 |
$0.00 |