Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WAL-MART STORES EAST LP

NPI: 1487100061 · NEW IBERIA, LA 70563 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/01/2016

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

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

$0.00
Total Medicaid Paid
537
Total Claims
518
Beneficiaries
10
Codes Billed
2020-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
NPI Enumeration Date09/01/2016

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
2020 136 $0.00
2021 236 $0.00
2022 165 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 69 63 $0.00
0012A 64 64 $0.00
G0008 Administration of influenza virus vaccine 151 143 $0.00
0051A 13 13 $0.00
90686 35 35 $0.00
G0009 Administration of pneumococcal vaccine 29 29 $0.00
0064A 45 45 $0.00
90682 17 17 $0.00
90662 85 80 $0.00
90670 29 29 $0.00