WALMART INC.
NPI: 1407873508
· LAS VEGAS, NV 89110
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$3.33
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
228 |
$3.33 |
| 2019 |
298 |
$0.00 |
| 2020 |
247 |
$0.00 |
| 2021 |
724 |
$0.00 |
| 2022 |
379 |
$0.00 |
| 2023 |
68 |
$0.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
440 |
411 |
$3.33 |
| 90662 |
|
164 |
163 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
39 |
36 |
$0.00 |
| 0004A |
|
67 |
67 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
256 |
252 |
$0.00 |
| 0012A |
|
208 |
208 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
435 |
428 |
$0.00 |
| 0011A |
|
206 |
196 |
$0.00 |
| 0001A |
|
13 |
12 |
$0.00 |
| 0064A |
|
116 |
116 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |