SAMS WEST INC
NPI: 1346267622
· DENVER, CO 80238
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
Provider Details
| Authorized Official | LEVINE, LAURA (MGR OF GOVERNMENT CONTRACTING) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$483.00 |
| 2021 |
242 |
$7K |
| 2022 |
34 |
$1K |
| 2023 |
31 |
$559.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
65 |
65 |
$2K |
| 0001A |
|
42 |
42 |
$2K |
| 90674 |
|
50 |
50 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
70 |
$1K |
| 0064A |
|
30 |
30 |
$1K |
| 0071A |
|
15 |
15 |
$600.00 |
| 0004A |
|
17 |
17 |
$600.00 |
| 0011A |
|
27 |
27 |
$501.02 |