WAL-MART STORES EAST LP
NPI: 1972521441
· JACKSON, KY 41339
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
318 |
$650.42 |
| 2019 |
269 |
$970.32 |
| 2020 |
202 |
$705.73 |
| 2021 |
88 |
$269.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
746 |
701 |
$3K |
| A4259 |
Lancets per box |
118 |
116 |
$41.84 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |