WAL-MART STORES EAST LP
NPI: 1730518762
· HOMESTEAD, FL 33033
· Durable Medical Equipment & Medical Supplies
· NPI assigned 11/12/2013
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$1.28
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 11/12/2013 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
150 |
$1.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
150 |
139 |
$1.28 |