WAL-MART STORES EAST LP
NPI: 1962429332
· INVERNESS, FL 34453
· 332B00000X
$80.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
120 |
$80.00 |
| 2022 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
46 |
41 |
$40.00 |
| 0012A |
|
43 |
39 |
$40.00 |
| K1034 |
Covid test self-admn/collect |
14 |
14 |
$0.00 |
| 0064A |
|
31 |
29 |
$0.00 |