WAL-MART STORES EAST LP
NPI: 1467479733
· LAMOINE, ME 04605
· 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
$298.77
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 |
49 |
$180.61 |
| 2019 |
26 |
$118.16 |
| 2020 |
30 |
$0.00 |
| 2021 |
388 |
$0.00 |
| 2022 |
13 |
$0.00 |
| 2023 |
13 |
$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 |
50 |
50 |
$298.77 |
| 0011A |
|
105 |
104 |
$0.00 |
| 0012A |
|
103 |
103 |
$0.00 |
| 0064A |
|
88 |
88 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
84 |
84 |
$0.00 |
| 90662 |
|
24 |
24 |
$0.00 |
| 0004A |
|
65 |
65 |
$0.00 |