WAL-MART STORES EAST, LP
NPI: 1962805671
· WEST MONROE, LA 71291
· 3336C0003X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$0.00 |
| 2019 |
14 |
$0.00 |
| 2021 |
79 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
28 |
28 |
$0.00 |
| 0011A |
|
27 |
27 |
$0.00 |
| 0012A |
|
37 |
37 |
$0.00 |
| 0064A |
|
15 |
15 |
$0.00 |