WAL-MART STORES EAST LP

NPI: 1740207992 · FAYETTEVILLE, NC 28303 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/16/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official LITTLE, SARAH controls 20+ related entities in our dataset. Read more

$9K

Total Medicaid Paid

685

Total Claims

641

Beneficiaries

Codes Billed

2020-10

First Month

2022-01

Last Month

Provider Details

Authorized Official	LITTLE, SARAH (DIRECTOR OF HEALTHCARE CONTRACTING)
NPI Enumeration Date	07/16/2006

Other providers sharing the same authorized official: LITTLE, SARAH

Provider	City	State	Total Paid
WAL-MART STORES EAST LP	TAMPA	FL	$6K
WALMART INC.	OTTUMWA	IA	$3K
WALMART INC.	BOONE	IA	$2K
WALMART INC.	CRESTON	IA	$2K
WALMART INC.	INDIANOLA	IA	$2K
WALMART INC.	KEOKUK	IA	$767.57
WALMART INC.	FOREST LAKE	MN	$692.41
WALMART INC.	WATERLOO	IA	$590.29
WALMART INC.	MANCHESTER	IA	$440.00
WALMART INC.	MAQUOKETA	IA	$404.34
WAL-MART STORES EAST LP	MIRAMAR	FL	$216.94
WAL-MART STORES EAST LP	LEESBURG	FL	$200.00
WAL-MART STORES EAST LP	HAMMOND	IN	$189.72
WALMART INC.	OWATONNA	MN	$162.92
WAL-MART STORES EAST LP	CORAL SPRINGS	FL	$160.00
WALMART INC.	STORM LAKE	IA	$156.11
WAL-MART STORES EAST LP	TALLAHASSEE	FL	$155.52
WAL-MART STORES EAST LP	SEBRING	FL	$120.00
WAL-MART STORES EAST LP	GREENACRES	FL	$120.00
WAL-MART STORES EAST LP	JACKSONVILLE	FL	$96.94

Code	Description	Claims	Beneficiaries	Total Paid
0012A		108	104	$5K
0031A		33	33	$2K
0001A		59	59	$1K
0002A		59	59	$650.00
90686		26	20	$376.20
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	32	23	$276.00
0011A		12	12	$260.00
0071A		17	17	$130.00
91300		146	128	$0.00
91301		122	117	$0.00
91307		44	42	$0.00
0072A		14	14	$0.00
91303		13	13	$0.00