WAL-MART STORES EAST LP
NPI: 1649297912
· BRUNSWICK, ME 04011
· 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
$58.24
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 |
44 |
$58.24 |
| 2021 |
415 |
$0.00 |
| 2022 |
40 |
$0.00 |
| 2023 |
15 |
$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 |
13 |
12 |
$58.24 |
| 0003A |
|
12 |
12 |
$0.00 |
| 0004A |
|
121 |
121 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| 0012A |
|
92 |
92 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
104 |
104 |
$0.00 |
| 0011A |
|
82 |
82 |
$0.00 |
| 0064A |
|
78 |
78 |
$0.00 |