WAL-MART STORES EAST LP
NPI: 1982621017
· LINDEN, NJ 07036
· 332B00000X
$455.82
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
269 |
$455.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
134 |
130 |
$320.00 |
| 0011A |
|
135 |
135 |
$135.82 |