WAL-MART STORES EAST LP
NPI: 1851573588
· AVON PARK, FL 33825
· 332B00000X
$67.27
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
262 |
$67.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
57 |
48 |
$67.27 |
| 0012A |
|
107 |
99 |
$0.00 |
| 0011A |
|
98 |
90 |
$0.00 |