Supplier
Sams West INC
Sams West INC was paid $1K by Medicaid between Oct 2020 and Apr 2021, across 4 billing codes. Its largest line is 0011A, — 44% of everything it billed.
33Billing provider infoSAMS WEST INC
EVANS, CO 80620
EVANS, CO 80620
33aNPI1154578961assigned 08/22/2008
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1K
24GClaims69
24DCodes billed4
24AFirst – last monthOct 2020 – Apr 2021
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Colorado
Rank by total paid#576 of 645
Median peer was paid$21K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 24 | $450.00 | |
| 2021 | 45 | $862.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 44% | 32 | 32 | $578.10 | |
| 0012A | 22% | 13 | 13 | $283.90 | |
| 90674 | 19% | 12 | 12 | $252.24 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 15% | 12 | 12 | $197.76 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEVINE, LAURA (MGR OF GOVERNMENT CONTRACTING)
Parent organizationWAL-MART STORES INC
| Provider | Location | Paid |
|---|---|---|
| Sams West INC | Denver, CO | $9K |
| Sams West INC | Honolulu, HI | $6K |
| Sams West INC | Aurora, CO | $1K |
| Sams East INC | Winston Salem, NC | $715.00 |
| Sams West INC | Reno, NV | $0.00 |
| Sams East INC | Metairie, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.