WAL-MART STORES EAST LP
NPI: 1518984855
· RUSTON, LA 71270
· Pharmacy
· 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
$0.00
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 |
59 |
$0.00 |
| 2022 |
27 |
$0.00 |
| 2023 |
259 |
$0.00 |
| 2024 |
422 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
49 |
45 |
$0.00 |
| 90662 |
|
178 |
165 |
$0.00 |
| 91320 |
|
66 |
62 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
44 |
39 |
$0.00 |
| 90480 |
|
117 |
108 |
$0.00 |
| 90677 |
|
26 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
201 |
187 |
$0.00 |
| 0064A |
|
25 |
25 |
$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 |
| 0011A |
|
18 |
18 |
$0.00 |
| 0012A |
|
16 |
16 |
$0.00 |