WAL-MART STORES EAST LP
NPI: 1871510248
· SAINT CLOUD, FL 34769
· 332B00000X
$38.88
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
150 |
$38.88 |
| 2022 |
37 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
38 |
36 |
$38.88 |
| 0004A |
|
80 |
79 |
$0.00 |
| 0002A |
|
13 |
13 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
37 |
35 |
$0.00 |
| 0031A |
|
19 |
19 |
$0.00 |