WAL-MART STORES EAST LP
NPI: 1932126141
· MICHIGAN CITY, IN 46360
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
243 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
56 |
56 |
$0.00 |
| 0012A |
|
97 |
97 |
$0.00 |
| 0011A |
|
90 |
90 |
$0.00 |