WAL-MART STORES EAST LP
NPI: 1124045307
· JAMESTOWN, TN 38556
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
$681.18
Total Medicaid Paid
Provider Details
| Authorized Official | LITTLE, SARAH (DIRECTOR OF HEALTHCARE CONTRACTING) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: LITTLE, SARAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
177 |
$422.79 |
| 2019 |
87 |
$136.81 |
| 2020 |
40 |
$72.46 |
| 2021 |
39 |
$19.54 |
| 2024 |
16 |
$29.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
359 |
350 |
$681.18 |