WAL-MART STORES EAST LP
NPI: 1609893957
· RAYVILLE, LA 71269
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/16/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$934.34
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
132 |
$356.01 |
| 2019 |
107 |
$361.05 |
| 2020 |
117 |
$191.42 |
| 2021 |
275 |
$25.86 |
| 2022 |
52 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
327 |
316 |
$934.34 |
| 0011A |
|
113 |
108 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
52 |
52 |
$0.00 |
| 0012A |
|
100 |
100 |
$0.00 |
| 0064A |
|
33 |
33 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |
| 0004A |
|
17 |
17 |
$0.00 |