Supplier
Wal-Mart Stores East LP
Wal-Mart Stores East LP was paid $794.16 by Medicaid between Oct 2019 and Oct 2023, across 3 billing codes. Its largest line is 90686, — 100% of everything it billed.
33Billing provider infoWAL-MART STORES EAST LP
RHINELANDER, WI 54501
RHINELANDER, WI 54501
33aNPI1710904875assigned 07/16/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$794.16
24GClaims65
24DCodes billed3
24AFirst – last monthOct 2019 – Oct 2023
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Wisconsin
Rank by total paid#384 of 451
Median peer was paid$10K
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 | |
|---|---|---|---|
| 2019 | 18 | $430.95 | |
| 2020 | 13 | $363.21 | |
| 2022 | 16 | $0.00 | |
| 2023 | 18 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 100% | 31 | 25 | $794.16 | |
| 90750 | 0% | 16 | 13 | $0.00 | |
| 90679 | 0% | 18 | 18 | $0.00 |
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)
| 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.