WAL-MART STORES EAST LP
NPI: 1609893940
· PINEVILLE, LA 71360
· 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
$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 |
|---|
| 2018 |
13 |
$0.00 |
| 2019 |
28 |
$0.00 |
| 2020 |
28 |
$0.00 |
| 2021 |
149 |
$0.00 |
| 2022 |
39 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
| 0012A |
|
46 |
46 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
57 |
57 |
$0.00 |
| 0064A |
|
36 |
36 |
$0.00 |
| 0011A |
|
42 |
37 |
$0.00 |
| 0001A |
|
13 |
13 |
$0.00 |
| 90662 |
|
24 |
24 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |