WAL-MART STORES EAST LP
NPI: 1578581088
· OXFORD, ME 04270
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/17/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$401.58
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 07/17/2006 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
96 |
$235.17 |
| 2019 |
50 |
$56.58 |
| 2020 |
60 |
$109.83 |
| 2021 |
525 |
$0.00 |
| 2022 |
13 |
$0.00 |
| 2023 |
28 |
$0.00 |
| 2024 |
54 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
80 |
80 |
$401.58 |
| 0012A |
|
163 |
162 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
154 |
154 |
$0.00 |
| 90480 |
|
27 |
27 |
$0.00 |
| 0011A |
|
159 |
151 |
$0.00 |
| 0064A |
|
161 |
161 |
$0.00 |
| 0001A |
|
13 |
13 |
$0.00 |
| 90662 |
|
40 |
40 |
$0.00 |
| 0004A |
|
16 |
16 |
$0.00 |
| 0002A |
|
13 |
13 |
$0.00 |