Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WALMART INC.

NPI: 1053338442 · NORTH LITTLE ROCK, AR 72117 · Pharmacy · NPI assigned 07/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more

$2K
Total Medicaid Paid
1,660
Total Claims
1,536
Beneficiaries
9
Codes Billed
2020-09
First Month
2022-02
Last Month

Provider Details

Authorized OfficialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: CANONIC, KIMBERLY

ProviderCityStateTotal Paid
WALMART INC. INDEPENDENCE IA $7K
WALMART INC. ANKENY IA $3K
WALMART INC. WINDSOR HEIGHTS IA $2K
WALMART INC. IOWA CITY IA $2K
WALMART INC. CENTERVILLE IA $2K
WALMART INC. DENISON IA $2K
WALMART INC. WEST BURLINGTON IA $1K
WALMART INC. MONTICELLO AR $1K
WALMART INC. MASON CITY IA $919.50
WAL-MART STORES EAST LP KENDALL FL $301.97
WALMART INC. WASECA MN $242.86
WAL-MART STORES EAST LP HIALEAH FL $160.00
WALMART INC. BROOKLYN PARK MN $81.46
WAL-MART STORES EAST LP EVANSVILLE IN $74.87
WALMART INC. PINE CITY MN $63.44
WALMART INC. ANAMOSA IA $41.46
WAL-MART STORES EAST LP JACKSONVILLE FL $28.39
WALMART INC. SHENANDOAH IA $22.95
WAL-MART STORES EAST LP OCALA FL $1.12
WALMART INC. FAYETTEVILLE AR $0.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $411.36
2021 1,433 $220.35
2022 199 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0072A 79 55 $1K
0071A 65 56 $280.00
90686 14 14 $225.96
0001A 379 378 $220.22
G0008 Administration of influenza virus vaccine 27 27 $185.40
91307 155 110 $0.42
91300 532 487 $0.13
0002A 334 334 $0.00
0004A 75 75 $0.00