WAL-MART STORES EAST LP
NPI: 1942227152
· CASSELBERRY, FL 32707
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$0.00 |
| 2022 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
15 |
14 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
13 |
13 |
$0.00 |