WAL-MART STORES EAST LP
NPI: 1942227160
· WINCHESTER, IN 47394
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2019 |
12 |
$0.00 |
| 2021 |
87 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
30 |
30 |
$0.00 |
| 0064A |
|
31 |
31 |
$0.00 |
| 0012A |
|
26 |
26 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| A4253 |
Blood glucose/reagent strips |
13 |
12 |
$0.00 |