WALMART INC.
NPI: 1457378705
· KAHULUI, HI 96732
· 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
$960.00
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 |
| 2021 |
12 |
$360.00 |
| 2022 |
16 |
$600.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0064A |
|
28 |
28 |
$960.00 |