WAL-MART STORES EAST LP
NPI: 1992723688
· BUCKHANNON, WV 26201
· 332B00000X
$441.24
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$441.24 |
| 2021 |
40 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
12 |
12 |
$441.24 |
| 0004A |
|
40 |
40 |
$0.00 |