WAL-MART STORES EAST LP
NPI: 1225055601
· GREENACRES, FL 33415
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official LITTLE, SARAH controls 20+ related entities in our dataset. Read more
$120.00
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 |
|---|
| 2021 |
278 |
$120.00 |
| 2022 |
65 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
19 |
15 |
$80.00 |
| 0004A |
|
115 |
89 |
$40.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
27 |
27 |
$0.00 |
| 0011A |
|
14 |
12 |
$0.00 |
| 0064A |
|
33 |
31 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
24 |
19 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
38 |
32 |
$0.00 |
| 90662 |
|
35 |
29 |
$0.00 |
| 0054A |
|
38 |
22 |
$0.00 |