WAL-MART STORES EAST LP
NPI: 1962429209
· LA PLACE, LA 70068
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
434 |
$0.00 |
| 2022 |
104 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
14 |
14 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| 0064A |
|
102 |
102 |
$0.00 |
| 0011A |
|
145 |
131 |
$0.00 |
| 0012A |
|
135 |
135 |
$0.00 |
| 0001A |
|
26 |
25 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
104 |
104 |
$0.00 |