SAMS EAST INC
NPI: 1043444920
· COCOA, FL 32926
· Durable Medical Equipment & Medical Supplies
· NPI assigned 05/07/2009
$38.88
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (MGR OF GOVERNMENT CONTRACTING) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 05/07/2009 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
27 |
$38.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
13 |
12 |
$38.88 |
| 0064A |
|
14 |
12 |
$0.00 |