NPI: 1255358545 · SOUTHINGTON, CT 06489 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/16/2006
| Authorized Official | LITTLE, SARAH (DIRECTOR OF HEALTHCARE CONTRACTING) |
| NPI Enumeration Date | 07/16/2006 |
Other providers sharing the same authorized official: LITTLE, SARAH
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES EAST LP | TAMPA | FL | $6K |
| WALMART INC. | OTTUMWA | IA | $3K |
| WALMART INC. | BOONE | IA | $2K |
| WALMART INC. | CRESTON | IA | $2K |
| WALMART INC. | INDIANOLA | IA | $2K |
| WALMART INC. | KEOKUK | IA | $767.57 |
| WALMART INC. | FOREST LAKE | MN | $692.41 |
| WALMART INC. | WATERLOO | IA | $590.29 |
| WALMART INC. | MANCHESTER | IA | $440.00 |
| WALMART INC. | MAQUOKETA | IA | $404.34 |
| WAL-MART STORES EAST LP | MIRAMAR | FL | $216.94 |
| WAL-MART STORES EAST LP | LEESBURG | FL | $200.00 |
| WAL-MART STORES EAST LP | HAMMOND | IN | $189.72 |
| WALMART INC. | OWATONNA | MN | $162.92 |
| WAL-MART STORES EAST LP | CORAL SPRINGS | FL | $160.00 |
| WALMART INC. | STORM LAKE | IA | $156.11 |
| WAL-MART STORES EAST LP | TALLAHASSEE | FL | $155.52 |
| WAL-MART STORES EAST LP | SEBRING | FL | $120.00 |
| WAL-MART STORES EAST LP | GREENACRES | FL | $120.00 |
| WAL-MART STORES EAST LP | JACKSONVILLE | FL | $96.94 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $472.56 |
| 2019 | 58 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 70 | 65 | $4K |