WAL-MART STORES EAST LP
NPI: 1851318240
· CLEWISTON, FL 33440
· 332B00000X
$233.06
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
131 |
$233.06 |
| 2022 |
18 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
17 |
12 |
$204.67 |
| 0011A |
|
29 |
24 |
$28.39 |
| 0064A |
|
56 |
38 |
$0.00 |
| 0012A |
|
29 |
23 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
18 |
17 |
$0.00 |