WAL-MART STORES EAST LP
NPI: 1962717157
· BOGALUSA, LA 70427
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
213 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
105 |
97 |
$0.00 |
| 0012A |
|
81 |
81 |
$0.00 |
| 0064A |
|
27 |
27 |
$0.00 |