WALMART INC.
NPI: 1508883901
· LITTLE ROCK, AR 72209
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCMULLIN, MATTHEW controls 20+ related entities in our dataset. Read more
$120.22
Total Medicaid Paid
Provider Details
| Authorized Official | MCMULLIN, MATTHEW (DIRECTOR, CONTRACTING) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: MCMULLIN, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
741 |
$0.00 |
| 2022 |
118 |
$120.22 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0071A |
|
31 |
28 |
$120.00 |
| 91307 |
|
81 |
58 |
$0.22 |
| 0004A |
|
13 |
13 |
$0.00 |
| 91300 |
|
16 |
16 |
$0.00 |
| 0012A |
|
201 |
201 |
$0.00 |
| 91301 |
|
193 |
189 |
$0.00 |
| 0011A |
|
204 |
204 |
$0.00 |
| 0064A |
|
51 |
51 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
40 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
27 |
27 |
$0.00 |