WALMART INC.
NPI: 1245257633
· CROSSETT, AR 71635
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
Deactivated NPI
· This NPI was deactivated on 10/22/2014. Reactivated 02/23/2015.
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCMULLIN, MATTHEW controls 20+ related entities in our dataset. Read more
$488.17
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 |
| 2020 |
12 |
$0.00 |
| 2021 |
774 |
$288.15 |
| 2022 |
140 |
$200.02 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0011A |
|
224 |
224 |
$287.98 |
| 0064A |
|
94 |
90 |
$200.00 |
| 91301 |
|
210 |
207 |
$0.19 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
105 |
105 |
$0.00 |
| 0012A |
|
232 |
232 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
61 |
60 |
$0.00 |