WAL-MART STORES EAST LP
NPI: 1164826921
· LEXINGTON, NC 27295
· Durable Medical Equipment & Medical Supplies
· NPI assigned 10/22/2014
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$780.00
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 10/22/2014 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
12 |
$780.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0031A |
|
12 |
12 |
$780.00 |