WAL-MART STORES EAST LP
NPI: 1235156555
· POPLAR BLUFF, MO 63901
· Pharmacy
· NPI assigned 07/16/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCMULLIN, MATTHEW controls 20+ related entities in our dataset. Read more
$512.18
Total Medicaid Paid
Provider Details
| Authorized Official | MCMULLIN, MATTHEW (DIRECTOR, CONTRACTING) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: MCMULLIN, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
31 |
$136.48 |
| 2019 |
53 |
$227.98 |
| 2020 |
26 |
$106.84 |
| 2021 |
12 |
$40.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
122 |
121 |
$512.18 |