WALMART INC.
NPI: 1134146277
· ISLAND CITY, OR 97850
· Durable Medical Equipment & Medical Supplies
· 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
$413.02
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
51 |
$0.00 |
| 2020 |
86 |
$65.89 |
| 2021 |
140 |
$40.00 |
| 2022 |
132 |
$164.15 |
| 2023 |
120 |
$142.98 |
| 2024 |
102 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90662 |
|
185 |
128 |
$256.47 |
| 91322 |
|
24 |
19 |
$51.07 |
| G0008 |
Administration of influenza virus vaccine |
223 |
160 |
$46.01 |
| 0004A |
|
25 |
15 |
$40.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
15 |
12 |
$9.99 |
| 90480 |
|
46 |
36 |
$9.48 |
| 0064A |
|
20 |
14 |
$0.00 |
| 0051A |
|
21 |
13 |
$0.00 |
| 0031A |
|
19 |
13 |
$0.00 |
| 91320 |
|
22 |
17 |
$0.00 |
| 0124A |
|
31 |
21 |
$0.00 |