WAL-MART STORES EAST LP
NPI: 1902142672
· GREENDALE, WI 53129
· 3336C0003X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
207 |
$2K |
| 2022 |
26 |
$381.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
33 |
33 |
$809.56 |
| 0002A |
|
13 |
13 |
$457.92 |
| 0124A |
|
13 |
13 |
$381.60 |
| 0004A |
|
13 |
12 |
$381.60 |
| 91301 |
|
12 |
12 |
$0.00 |
| 91300 |
|
136 |
103 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |