Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WALMART INC.

NPI: 1720005101 · DES MOINES, IA 50320 · 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

$20K
Total Medicaid Paid
1,069
Total Claims
851
Beneficiaries
14
Codes Billed
2019-09
First Month
2022-01
Last Month

Provider Details

Authorized OfficialCANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: CANONIC, KIMBERLY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 52 $197.80
2020 46 $498.56
2021 853 $16K
2022 118 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 230 132 $5K
0002A 149 86 $3K
0004A 58 58 $2K
0071A 53 53 $2K
0072A 49 49 $2K
0012A 71 40 $1K
0011A 38 34 $1K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 98 96 $696.36
0031A 25 18 $674.72
0054A 13 13 $520.00
91307 55 53 $0.00
91301 39 38 $0.00
91305 13 13 $0.00
91300 178 168 $0.00