Supplier
Sams West INC
Sams West INC was paid $6K by Medicaid between May 2018 and Oct 2023, across 4 billing codes. Its largest line is 90674, — 42% of everything it billed.
33Billing provider infoSAMS WEST INC
HONOLULU, HI 96814
HONOLULU, HI 96814
33aNPI1275550527assigned 07/16/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$6K
24GClaims375
24DCodes billed4
24AFirst – last monthMay 2018 – Oct 2023
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Hawaii
Rank by total paid#76 of 123
Median peer was paid$20K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 116 | $1K | |
| 2019 | 57 | $760.36 | |
| 2021 | 99 | $2K | |
| 2022 | 48 | $808.78 | |
| 2023 | 55 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90674 | 42% | 108 | 108 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 38% | 211 | 205 | $2K |
| 0064A | 20% | 44 | 44 | $1K | |
| 90750 | 0% | 12 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEVINE, LAURA (MGR OF GOVERNMENT CONTRACTING)
Parent organizationWAL-MART STORES INC
| Provider | Location | Paid |
|---|---|---|
| Sams West INC | Denver, CO | $9K |
| Sams West INC | Aurora, CO | $1K |
| Sams East INC | Winston Salem, NC | $715.00 |
| Sams West INC | Reno, NV | $0.00 |
| Sams East INC | Metairie, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.