WAL-MART STORES EAST LP
NPI: 1598783268
· HUGO, OK 74743
· Pharmacy
· NPI assigned 07/18/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCMULLIN, MATTHEW controls 20+ related entities in our dataset. Read more
$52.14
Total Medicaid Paid
Provider Details
| Authorized Official | MCMULLIN, MATTHEW (DIRECTOR, CONTRACTING) |
| NPI Enumeration Date | 07/18/2006 |
Related Entities
Other providers sharing the same authorized official: MCMULLIN, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12 |
$23.87 |
| 2021 |
12 |
$28.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
24 |
24 |
$52.14 |