Medicaid Provider Spending

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

WAL-MART STORES EAST LP

NPI: 1063430536 · HARLAN, KY 40831 · Pharmacy · NPI assigned 07/17/2006

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

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

$3K
Total Medicaid Paid
882
Total Claims
839
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
NPI Enumeration Date07/17/2006

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
2018 263 $768.07
2019 204 $1K
2020 287 $914.18
2021 128 $584.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 775 736 $3K
A4259 Lancets, per box of 100 95 91 $38.24
G0008 Administration of influenza virus vaccine 12 12 $0.00