WAL-MART STORES EAST LP
NPI: 1922025170
· WHITEVILLE, NC 28472
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
51 |
$0.00 |
| 2021 |
189 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
26 |
26 |
$845.00 |
| 0011A |
|
17 |
17 |
$390.00 |
| 0001A |
|
12 |
12 |
$260.00 |
| 0072A |
|
13 |
13 |
$195.00 |
| 0071A |
|
14 |
14 |
$195.00 |
| 91307 |
|
27 |
27 |
$0.00 |
| 91301 |
|
58 |
57 |
$0.00 |
| A4253 |
Blood glucose/reagent strips |
51 |
50 |
$0.00 |
| 91300 |
|
22 |
18 |
$0.00 |