WAL-MART STORES EAST LP
NPI: 1801814397
· ZACHARY, LA 70791
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
33 |
$0.00 |
| 2019 |
36 |
$0.00 |
| 2021 |
93 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
18 |
18 |
$0.00 |
| 0011A |
|
32 |
32 |
$0.00 |
| G0008 |
Admin influenza virus vac |
17 |
17 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 0012A |
|
43 |
43 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
18 |
17 |
$0.00 |
| 90732 |
|
18 |
17 |
$0.00 |