Supplier
Sams West INC
Sams West INC was paid $2K by Medicaid between Oct 2021 and Oct 2023, across 3 billing codes. Its largest line is 90674, — 36% of everything it billed.
33Billing provider infoSAMS WEST INC
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
33aNPI1629095906assigned 07/16/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2K
24GClaims105
24DCodes billed3
24AFirst – last monthOct 2021 – Oct 2023
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Colorado
Rank by total paid#548 of 645
Median peer was paid$21K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 60 | $2K | |
| 2022 | 13 | $208.16 | |
| 2023 | 32 | $734.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90674 | 36% | 36 | 36 | $880.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 35% | 51 | 48 | $849.81 |
| 0064A | 29% | 18 | 18 | $720.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
Parent organizationWAL-MART STORES INC
| Provider | Location | Paid |
|---|---|---|
| Walmart INC. | Independence, IA | $7K |
| Walmart INC. | Ankeny, IA | $3K |
| Walmart INC. | Windsor Heights, IA | $2K |
| Walmart INC. | Iowa City, IA | $2K |
| Walmart INC. | Centerville, IA | $2K |
| Walmart INC. | Denison, IA | $2K |
| Walmart INC. | West Burlington, IA | $1K |
| Walmart INC. | Monticello, AR | $1K |
| Walmart INC. | Mason City, IA | $919.50 |
| Wal-Mart Stores East LP | Kendall, FL | $301.97 |
| Walmart INC. | Waseca, MN | $242.86 |
| Wal-Mart Stores East LP | Hialeah, FL | $160.00 |
| Walmart INC. | Brooklyn Park, MN | $81.46 |
| Wal-Mart Stores East LP | Evansville, IN | $74.87 |
| Walmart INC. | Pine City, MN | $63.44 |
| Walmart INC. | Anamosa, IA | $41.46 |
| Wal-Mart Stores East LP | Jacksonville, FL | $28.39 |
| Walmart INC. | Shenandoah, IA | $22.95 |
| Wal-Mart Stores East LP | Ocala, FL | $1.12 |
| Walmart INC. | Fayetteville, AR | $0.07 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.