SAMS WEST INC
NPI: 1154578961
· EVANS, CO 80620
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/22/2008
Provider Details
| Authorized Official | LEVINE, LAURA (MGR OF GOVERNMENT CONTRACTING) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 08/22/2008 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$450.00 |
| 2021 |
45 |
$862.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
32 |
32 |
$578.10 |
| 0012A |
|
13 |
13 |
$283.90 |
| 90674 |
|
12 |
12 |
$252.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$197.76 |