Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAL-MART STORES EAST LP

NPI: 1386852200 · BATON ROUGE, LA 70816 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/21/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more

$57.00
Total Medicaid Paid
165
Total Claims
161
Beneficiaries
6
Codes Billed
2021-02
First Month
2022-10
Last Month

Provider Details

Authorized OfficialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
NPI Enumeration Date05/21/2007

Related Entities

Other providers sharing the same authorized official: CANONIC, KIMBERLY

ProviderCityStateTotal Paid
WALMART INC. INDEPENDENCE IA $7K
WALMART INC. ANKENY IA $3K
WALMART INC. WINDSOR HEIGHTS IA $2K
WALMART INC. IOWA CITY IA $2K
WALMART INC. CENTERVILLE IA $2K
WALMART INC. DENISON IA $2K
WALMART INC. WEST BURLINGTON IA $1K
WALMART INC. MONTICELLO AR $1K
WALMART INC. MASON CITY IA $919.50
WAL-MART STORES EAST LP KENDALL FL $301.97
WALMART INC. WASECA MN $242.86
WAL-MART STORES EAST LP HIALEAH FL $160.00
WALMART INC. BROOKLYN PARK MN $81.46
WAL-MART STORES EAST LP EVANSVILLE IN $74.87
WALMART INC. PINE CITY MN $63.44
WALMART INC. ANAMOSA IA $41.46
WAL-MART STORES EAST LP JACKSONVILLE FL $28.39
WALMART INC. SHENANDOAH IA $22.95
WAL-MART STORES EAST LP OCALA FL $1.12
WALMART INC. FAYETTEVILLE AR $0.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 84 $57.00
2022 81 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 38 38 $40.00
0011A 30 26 $17.00
G0008 Administration of influenza virus vaccine 44 44 $0.00
0012A 16 16 $0.00
90686 22 22 $0.00
90662 15 15 $0.00