NPI: 1073985404 · SAINT PETERS, MO 63376 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/26/2015
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| Parent Organization | WALMART INC |
| NPI Enumeration Date | 10/26/2015 |
Other providers sharing the same authorized official: CANONIC, KIMBERLY
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 3,623 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,867 | 1,862 | $30K |
| 92002 | 415 | 415 | $19K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 991 | 984 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 174 | 174 | $8K |
| V2744 | Tint, photochromatic, per lens | 72 | 70 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 52 | 52 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25 | 25 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 27 | 25 | $324.00 |