WAL-MART STORES EAST LP
NPI: 1831375286
· HARVEY, LA 70058
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
119 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
45 |
32 |
$0.00 |
| 0012A |
|
39 |
39 |
$0.00 |
| 0064A |
|
35 |
35 |
$0.00 |