WAL-MART STORES EAST LP
NPI: 1982621223
· DERIDDER, LA 70634
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$0.00 |
| 2019 |
20 |
$0.00 |
| 2020 |
29 |
$0.00 |
| 2021 |
237 |
$0.00 |
| 2022 |
40 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
13 |
13 |
$0.00 |
| 0011A |
|
119 |
115 |
$0.00 |
| G0008 |
Admin influenza virus vac |
53 |
53 |
$0.00 |
| 0064A |
|
45 |
45 |
$0.00 |
| 0012A |
|
73 |
73 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
40 |
40 |
$0.00 |