WAL-MART STORES EAST LP
NPI: 1912924028
· WOODSTOCK, VA 22664
· Durable Medical Equipment & Medical Supplies
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
650 |
$112.21 |
| 2019 |
789 |
$136.60 |
| 2020 |
829 |
$848.57 |
| 2021 |
1,123 |
$903.72 |
| 2022 |
16 |
$36.03 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,508 |
1,220 |
$2K |
| 90662 |
|
205 |
204 |
$122.64 |
| G0008 |
Administration of influenza virus vaccine |
387 |
383 |
$63.49 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
256 |
206 |
$52.80 |
| 90686 |
|
40 |
40 |
$15.77 |
| A4259 |
Lancets, per box of 100 |
191 |
151 |
$9.93 |
| 0004A |
|
159 |
159 |
$0.00 |
| 0002A |
|
105 |
105 |
$0.00 |
| 90682 |
|
14 |
14 |
$0.00 |
| 0011A |
|
113 |
113 |
$0.00 |
| 0012A |
|
117 |
117 |
$0.00 |
| 0001A |
|
108 |
108 |
$0.00 |
| 0031A |
|
43 |
43 |
$0.00 |
| 0064A |
|
161 |
161 |
$0.00 |